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1 INSTRUCTIONS Please answer each question clearly and completely. TYPE OR PRINT LEGIBLY.

Read carefully and follow all directions.
1. 2. 7. Do not Write in This Space

UNITED

NATIONS

PERSONAL HISTORY
Middle name

     

Family name Date of (day/month/yr) Birth       Height 8. Weight 3.

First name

           
9.

     
4.

Maiden name, if any

     
5.

Place of birth Marital Status:

      Married

Nationality(ies) at birth

     

Present Nationality(ies)

6. Sex       Divorced

10.

     

Entry into United Nations service might require assignment to any area of the world in which the United Nations might have responsibilities. (a) Are there any limitations on your ability to perform in your prospective field of work? YES NO (b) Are there any limitations on your ability to engage in all travel? YES NO Permanent address 12.

     

Single

Separated

Widow(er)

11.

     

     

Present address

13. 14.

(       )       (      )       E-mail:      
Nationality

Office Telephone No. Office Fax No.

Telephone No. (     )      
15. Do you have any dependent children? Name of Children YES

Telephone/Fax No. (       )      
NO

If the answer is “yes”, give the following information: Place of Birth Gender

Date of Birth (day/mo/year)

                                   
15. (a) 16. 17.

                                    Name of Spouse            

                                          YES

                                          NO

                                         

Have you taken up legal permanent residence status in any country other than that of your nationality? If answer is “yes”, which country?       Have you taken any legal steps towards changing your present nationality? If answer is “yes”, explain fully:      

YES

NO NO
Name of International Organization

18.

Are any of your relatives employed by a public international organization? YES If answer is “yes”, give the following information: NAME Relationship

                 
19. 20. 22.

                 
21.

                 

     

What is your preferred field of work? Would you accept employment for less than six months? Have you previously submitted an application for employment and/or undergone any tests with U.N.? YES NO If so, when?      

YES

NO READ
Easily Not Easily

KNOWLEDGE OF LANGUAGES. What is your mother tongue?

OTHER LANGUAGES                        
23. For clerical grades only Indicate speed in words per minute English Typing Shorthand      

      WRITE
Easily Not Easily

SPEAK
Fluently Not Fluently

UNDERSTAND
Easily Not Easily

French

Other languages

           

                 

                 

List any office machines or equipment and computer programmes you use.      

     

P.11 (3-00)-E

IF NOT PRESENTLY IN EMPLOYMENT) FROM TO STARTING       SALARIES PER ANNUM FINAL       TYPE OF BUSINESS       NAME AND E-MAIL ADDRESS OF SUPERVISOR:       NO.       B.11 (3-00)-E . Please do not translate or equate to other degrees. University or equivalent NAME. ATTENDED FROM/TO Month/Year Month/Year                                                                               DEGREES and ACADEMIC DISTINCTIONS OBTAINED MAIN COURSE OF STUDY       A. technical school or apprenticeship) NAME. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e. PLACE AND COUNTRY Please give complete address. attach additional pages of the same size.2 24. PUBLIC OR INTERNATIONAL AFFAIRS       26. Please give exact titles of degrees in original language. PLACE AND COUNTRY Please give complete address. Use a separate block for each post. high school.B.. EDUCATION. If you need more space.                                                                         TYPE YEARS ATTENDED FROM TO             CERTIFICATES OR DIPLOMAS OBTAINED       25. AND KIND OF EMPLOYEES REASON FOR LEAVING SUPERVISED BY YOU:             EXACT TITLE OF YOUR POST:       MONTH/YEAR MONTH/YEAR             NAME OF EMPLOYER:       ADDRESS OF EMPLOYER:       DESCRIPTION OF YOUR DUTIES:       P. EMPLOYMENT RECORD: Starting with your present post. PRESENT POST (LAST POST. Include also service in the armed forces and note any period during which you were not gainfully employed. Give full details – N. list in REVERSE ORDER every employment you have had. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (DO NOT ATTACH)       27.g. Give both gross and net salaries per annum for your last or present post. A. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC.

AND KIND OF EMPLOYEES REASON FOR LEAVING: SUPERVISED BY YOU:             DESCRIPTION OF YOUR DUTIES       EXACT TITLE OF YOUR POST:       NAME OF EMPLOYER:       ADDRESS OF EMPLOYER:       FROM MONTH/YEAR       TO MONTH/YEAR       SALARIES PER ANNUM STARTING       FINAL       EXACT TITLE OF YOUR POST:       NAME OF EMPLOYER:       ADDRESS OF EMPLOYER:       TYPE OF BUSINESS:       NAME AND E-MAIL ADDRESS OF SUPERVISOR:       NO. PREVIOUS POSTS (IN REVERSE ORDER) FROM MONTH/YEAR       TO MONTH/YEAR       SALARIES PER ANNUM STARTING       FINAL       TYPE OF BUSINESS:       NAME AND E-MAIL ADDRESS OF SUPERVISOR:       NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:       DESCRIPTION OF YOUR DUTIES       REASON FOR LEAVING:       P. AND KIND OF EMPLOYEES REASON FOR LEAVING: SUPERVISED BY YOU:             DESCRIPTION OF YOUR DUTIES       FROM MONTH/YEAR       TO MONTH/YEAR       SALARIES PER ANNUM STARTING       FINAL       EXACT TITLE OF YOUR POST:       NAME OF EMPLOYER:       ADDRESS OF EMPLOYER:       TYPE OF BUSINESS:       NAME AND E-MAIL ADDRESS OF SUPERVISOR:       NO.3 B.11 (3-00)-E .

ARE YOU NOW OR HAVE YOU EVER BEEN A CIVIL SERVANT IN YOUR GOVERNMENT’S EMPLOY? If answer is “yes”.4 28. WHEN?       30.11 (3-00)-E . ATTENTION! Do not repeat names of supervisors listed under Item 27! FULL NAME FULL ADDRESS & E-MAIL BUSINESS OR OCCUPATION                   31. INDICTED. FINED OR IMPRISONED FOR THE VIOLATION OF ANY LAW (excluding minor traffic violations)? YES NO If “yes”. You will be requested to supply documentary evidence which supports the statements you have made above.       32.       33. Do not.B.                                     STATE ANY OTHER RELEVANT FACTS. P. send any documentary evidence until you have been asked to do so by the Organization and. OR CONVICTED. however. OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING. year)       SIGNATURE: N. REFERENCES: List three persons. DATE (day. in any event. month. give full particulars of each case in an attached statement. OTHER AGENCIES OF THE UNITED NATIONS SYSTEM MAY BE INTERESTED IN OUR APPLICANTS. who are familiar with your character and qualifications. not related to you. 34. HAVE YOU EVER BEEN ARRESTED. complete and correct to the best of my knowledge and belief. DO YOU HAVE ANY OBJECTION TO YOUR PERSONAL HISTORY FORM BEING MADE AVAILABLE TO THEM? YES NO I certify that the statements made by me in answer to the foregoing questions are true. do not submit the original texts of references or testimonials unless they have been obtained for the sole use of the Organization. INCLUDE INFORMATION REGARDING ANY RESIDENCE OUTSIDE THE COUNTRY OF YOUR NATIONALITY. I understand that any misrepresentation or material omission made on a Personal History form or other document requested by the Organization renders a staff member of the United Nations liable to termination or dismissal. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER? YES YES NO NO 29. and are not current United Nations staff members.