UNITED NATIONS NATIONS UNIES

HR MINI MASTER REGISTRATION FORM

NOTE: This form is to be used by non-staff individuals including meeting participants and staff administered by other agencies.

Instructions:
Please answer each field completely. TYPE or PRINT in dark ink.

Part A – General Data

Title (Mr./Ms./Mrs. etc):
First Name (as in Government ID):
Middle Name (as in Government ID):
Last Name (as in Government ID):
Have you worked with the UN in the past? Yes No
If yes, provide Index Number:

Date of Birth (dd/mm/yyyy):

Place of Birth:
(Country) (City)

Gender: Male Female

Nationality:

Email Address:

Telephone:

Address:

(City) (Postal Code) (Country)

ID Number (Passport or other):

ID Date of Issue (dd/mm/yyyy):

ID Valid to date (dd/mm/yyyy):

ID Place of Issue:

ID Country of Issue:

hr_mini_master_request_form_MAR 2020 for pdf-2.doc– ADAPTED MAR 2020

 UNITED NATIONS NATIONS UNIES

Part B – Banking Data

Account Holder’s name: (Refer #1)

UMOJA BP/Index no:
Currency of payment: (Refer #2)
Name of Bank:
Address of Bank:

(City) (Postal Code) (Country)

BIC/SWIFT CODE: (Refer #3)

Account No. or IBAN:

Currency of Account:

Type of Account: Checking OR Savings (Refer #4)

Domestic Routing and/or

(Refer #5)
additional Bank Instructions:

Part C – Certification by the individual above; Staff, Consultant, IC, or External Individual

Name & SIGNATURE: X _________________________________

By checking this box, I certify that the above information is accurate:

Enter full name: Date (dd/mm/yyyy):

Part D – Filled by HR Mini Master Administrator

Personnel Subarea (Duty Station) of engagement/meeting:
Personnel Area (Country) of engagement/meeting:

Effective date (dd/mm/yyyy):

Enter name:
(HR Mini Master Administrator)

Signature: X

hr_mini_master_request_form_MAR 2020 for pdf-2.doc– ADAPTED MAR 2020