Part 1: Section 4

Bidding Forms

Note to Bidders: The information requested is required in the format provided below for each named member of professional staff and should be included by the Bidder in its technical proposal.

T6 Curriculum Vitae for Proposed Professional Staff

1. Proposed Position: [ o n l y
o n e c a n d i d a t e f o r e a c h p o s i t i o n ] ________________________________________________

2. Name of Firm:___________________________________________________________________________ 3. Name of Staff:___________________________________________________________________________ 4. Date of Birth:

____________________________Nationality:__________________________________
c o l l e g e / u n i v e r s i t y a n d o t h e r s p e c i a l i s e d e d u c a t i o n , g i v i n g n a m e s of i n s t i t u t i o n s , d e g r e e s

5. Education: [ i n d i c a t e

o b t a i n e d a n d d a t e s of o b t a i n e d ] ___________________________________________________________________________________

6. Membership of Professional Associations: 7. Other Training:

[indicate other significant training not included under Education]

8. Countries of Work Experience: 9. Languages:

[ l i s t c o u n t r i e s of w o r k e x p e r i e n c e i n t h e l a s t t e n y e a r s ]

[indicate proficiency in each language as good, fair or poor for speaking, reading and

w r i t i n g ] ____________________________________________________________________________________________________________

10. Employment Record:

[starting with present position, list every employment held since graduation,

s t a t i n g d a t e s of e m p l o y m e n t , e m p l o y i n g o r g a n i s a t i o n a n d p o s i t i o n s h e l d ] _______________________________________

From:

[ y e a r ] ___________To: [ y e a r ] __________________

Employer:____________________________________ Positions held: _______________________________

11. Detailed Tasks Assigned:12. Work Undertaken that Best IllustratesCapability to Handle the Tasks Assigned:[List all tasks to he performed under[Indicate the following information for those assignments that bestthis assignment/illustrate the member of staff's capability to handle the tasks listedunder point 11/Name of assignment or project:Year:Location:Client:Main project features:Positions held:Activities performed:

Standard RFP for the Procurement of Consultancy Services issued by the I'I'A (Version I, January 2006) Document .Section 4 Section Page of 17 File Ref Cons- RFP-ICB-Section 4

Part 1: Section 4

Bidding Forms

13. Certification: 1, the undersigned, certify that to the best of my knowledge and belief, this CV correctly describes myself, my qualifications, and my experience. I understand that any willful misstatement described herein may lead to my disqualification or dismissal, if engaged. ______________________________________________________
S i g n a t u r e of s t a f f m e m b e r o r a u t h o r i s e d r e p r e s e n t a t i v e o f t h e s t a f f D a y / M o n t h / Y e a r Full name of authorised representative:________________________________________________________________________________

Date: 10 January 2012

Standard RFP for the Procurement of Consultancy Services issued by the I'I'A (Version I, January 2006) Document .Section 4 Section Page of 17 File Ref Cons-RFP- ICB-Section 4