UNU-IIGH Internship Application Form

UNU-IIGH Building Tel: +60 3-9171 5394

UKM Medical Centre, Jalan Yaacob Latif, Email: iigh-internship@unu.org
Bandar Tun Razak
56000 Cheras
Federal Territory of Kuala Lumpur, Malaysia

Application Form
UNU-IIGH Internship Programme
PART I - TO BE COMPLETED BY THE APPLICANT
1. Family Name Given Name
Mohamad Siti Nabilah

2. Sex: F M Specify (or leave blank)

___ __
3. Date of Birth 4. Place of Birth 5. Nationality
day/month/year Besut, Terengganu Malaysian
03/09/1987
6. Permanent Address 7. Present Address
2985, Jalan Kubang Emas B-13-2, Hampshire Residences,
Kampung Bharu, Belakang Klinik Bidan 2A Persiaran Hampshire, Off Jalan Ampang
22300, Kuala Besut, Terengganu 50450, Kuala Lumpur
Telephone No.: Telephone No.: 0129339808
E-mail: bella.mhd@icloud.com E-mail: bella.mhd@icloud.com
8. Please list a name of the person to be notified, in case of emergency
Name: Azhan
Address: B-13-2, Hampshire Residences, 2A Persiaran Hampshire, 50450, Kuala Lumpur

Telephone: +447587054028
9. Insurance (only if non-remote, on-site internship)
I hereby confirm that I hold a health/accident insurance policy as follows:
Axa Hospital Care Plan
Policy Number: S4DA12419000
10. Knowledge of Languages
Language Read Write Speak
Easily Not easily Easily Not Easily Not
easily easily
English Yes Yes Yes
Other (please specify):
Malay Yes Yes Yes

11. Higher Education

Institution Attendance from/to Degree Major subject of
Name, place & Mo./Year Mo./Year (Date study
country awarded/expected)
Seremban MARA July/2005 August/2007 August 2007 International
College, Malaysia Baccalaureate
Diploma for Pre-
Medical

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International Medical November/2007 December/2012 January 2013 Bachelor of Medicine

School (Bangalore) – and Bachelor of
Management & Surgery (MBBS)
Science University
(Malaysia)
King’s College September/ February 2023 July 2023 MSc Global Health
London, UK 2021

12. Employment: Please provide your employment history.

Resident Medical Doctor - Mediviron Clinic Kuala Lumpur. April 2020 – September 2021
Senior Medical Officer, UD48 - Kuala Lumpur Women And Children's Hospital. Radiology and Imaging
Department. September 2019 – March 2020
Medical Officer, UD44-48 - Queen Elizabeth Hospital 1, Queen Elizabeth Hospital 2, Likas Women And
Children’s Hospital, Sabah, Malaysia. Palliative Care Medicine and End of Life Care Department. September
2015 – September 2019
Locum Medical Doctor – Private GP Clinics in Kota Kinabalu and Kuala Lumpur. January 2020 – April 2021
House Officer, UD41 - Queen Elizabeth Hospital 1, Queen Elizabeth Hospital 2, Likas Women And Children
Hospital. Concluded a minimum of 4 months of training in each of the 5 compulsory rotations and 1 extra
rotation of choice: -Internal Medicine, Orthopaedic, Surgery, Pediatric, Obstetrics & Gynecology, and
Anaesthesiology. March 2013 – September 2015
13. Career Plans: Please provide a brief statement on career plans and development.
During this internship, I aim to gain firsthand experience in the design, implementation, and evaluation of global
health programs and policies. I am particularly interested in health inequality, health policies, and health in
conflict settings. Working within the UN system will provide me with valuable insights into the development and
implementation of evidence-based interventions that address these pressing issues.
One aspect of my career development during the internship will be to enhance my research skills. I intend to
actively engage in research projects and contribute to the production of evidence that informs health policies at a
global level. I will leverage my previous experiences in independent and team-led research, medical report
writing, and data analysis to effectively contribute to ongoing initiatives within the UN. I have seen firsthand
how evidence based practices and clinical findings helped patient managements in and out of the hospital and
would love to be involved in similar processes within the UN community to further develop my expertise in this.
Through this internship, I aim to forge connections and lay the foundation for a long-term career within the UN
or other international organizations dedicated to improving global health
In overall, my career plan during the UN internship is to acquire practical skills, knowledge, and experiences that
will enable me to become a global health leader and advocate. I aspire to contribute to the development and
implementation of evidence-based policies, programs, and interventions that address health disparities, promote
health equity, and drive sustainable development.

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14. Other Relevant Information

a) Areas of Interest: Indicate in broad terms which areas you are interesting in learning more about or willing to
contribute. Indicate your top three choices, 1 being your first choice. You may leave the other sections blank.

_____ Events Management and Organization

_Yes_ Research and Analysis
_____ Communications, Design and Media
_Yes_ Institutional Development
_Yes_ Executive Support

b) University scholarships or academic distinction:

Full MARA Scholarship: Anugerah Pelajar Cemerlang for IB Diploma programme and MBBS (India)
2nd Professional MBBS Exam – Distinction
c) Publications (if any):
_ ____

d) Have you ever applied for regular employment with the United Nations?
Yes No
If yes, please give dates:
09/10/2022 (UNRWA – Public Health Scientist/P-3) and 30/11/2022 (UN Talent Pool)
e) Have you ever been convicted, fined or imprisoned for the violation of any law
(excluding minor traffic violations)?
Yes No
If yes, please give full details in an attached statement.

15. Internship Period:

Please indicate your availability for the internship (month/year):

From: July 2023 To: December 2023

16. Where did you first learn about the UNU-IIGH Internship Programme? (check all that apply)
a UNU website from a professor former intern
programme brochure/flier from a classmate or friend other: (please specify
your university career centre social media (eg. FB, Twitter) below)

17. As listed in the required documents, please separately include with this form, 1) a brief cover letter
explaining your reasons for applying to the United Nations University Internship Programme, with specific
objectives and expected benefits of the internship. Also please include 2) your most updated CV.

18. References:
Please list TWO individuals not related to you who are familiar with your qualifications and character,
and who contingent upon passing the interview phase of the selection process, have agreed to forward
a letter of reference directly to UNU.

Full name & Title Address and contact e-mail Profession

Dr Najmi Klinik Kesihatan Sri Medang/n.nabihahmohamad@gmail.com Physician

Full name & Title Address and contact e-mail Profession

Dr Noorlizam Queen Elizabeth Hospital/sitinoorlizam@yahoo.com Physician

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19. I have read and fully understand the guidelines and conditions of the United Nations University Internship
Programme, which include the following:
(a) that there is a stipend of MYR 1,000 attached to the UNU internship, but that otherwise all other
expenses connected with it must be borne by me or a sponsoring Government or institution;
(b) that I am responsible for obtaining necessary visas and arranging my travel to the United Nations
University International Institute for Global Health, Kuala Lumpur, Malaysia;
(c) that the United Nations University accepts no responsibility for costs arising from accidents and/or
illness incurred during my internship and that I must, therefore, provide proof of my enrollment in a
health insurance plan.

I CERTIFY that the foregoing statements and answers are true, complete and correct to the best of my
knowledge and belief.

Signature: Mohamad Date: 2nd June 2023

This duly completed application and accompanying documents must be forwarded to the United
Nations University International Insitute for Global Health at the following address:
iigh-internship@unu.edu

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PART II - TO BE COMPLETED BY THE NOMINATING INSTITUTION

(Not Mandatory – only for applicants choosing to apply through their institution)

Name of Institution/Organization: __________________

nominates ____________________ __________________

to participate in the United Nations University Internship Programme in Kuala Lumpur, Malaysia under the
conditions set out by the United Nations University.

Duration and timing of internship: __________________

Purpose of candidate's proposed participation in the United Nations University Internship Programme:

__________________ ____________________________

__________________ ____________________________

__________________ ____________________________

Name and Address of Nominating Name of UNU-IIGH’s Internship Supervisor:

Institution/Organization
(Must be stamped with the official seal)

__________________________________

_______________ Signature: _____________________

________________________________ Date: _____________________

Acknowledged by

________________________________

Director of UNU-IIGH