ࡱ> twqrs Rbjbj*2$$kkS$Avw(((()@ 3|h9 @"@"@"@"@"@"@CE"@A(<))(<(<"@kk((cA???(<k8(( @?(< @??? (@דsD<? @yA0A?wF`<|wF?wF?$(<(<?(<(<(<(<(<"@"@?(<(<(<A(<(<(<(<wF(<(<(<(<(<(<(<(<(<$ 1:  INSTRUCTIONS Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. U N I T E D  N A T I O N S P E R S O N A L H I S T O R Y F O R MDo not write in this Space Family name  FORMTEXT      First Name  FORMTEXT      Other names  FORMTEXT      Maiden Name  FORMTEXT      2. Date of birth (day, month, year)  FORMTEXT      3. Place of birth  FORMTEXT      4. Nationality at birth  FORMTEXT      5. Present nationality  FORMTEXT      6. Sex  FORMCHECKBOX  Female  FORMCHECKBOX  Male7. Height  FORMTEXT      8. Weight  FORMTEXT      9. Marital Status:  FORMCHECKBOX  Single  FORMCHECKBOX  Married  FORMCHECKBOX  Separated  FORMCHECKBOX  Widow(er)  FORMCHECKBOX Divorced 10. Entry into United Nations service might entail assignment and travel to any area of the world in which the United Nations might have responsibilities. Have you any disabilities, which might limit your prospective field of work or your ability to engage in air travel?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please describe.  FORMTEXT       11. Permanent address  FORMTEXT      12. Present address  FORMTEXT       13. Permanent telephone no.  FORMTEXT       Fax no (if any).  FORMTEXT      14. Present telephone no.  FORMTEXT       Fax no.  FORMTEXT      15. Have you any dependents?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If the answer is  Yes , give the following information: NAMEDate of BirthRelationshipNAMEDate of BirthRelationship FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      16. Have you taken up legal permanent resident status in any country other than that of your nationality?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If answer is  yes , which country?  FORMTEXT      17. Have you taken any legal steps towards changing your present nationality?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If answer is  yes , explain fully:  FORMTEXT       18. Are any of your relatives employed by a public international organization?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If answer is  yes , give the following information:NAMERelationshipName of international organization FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      19. What is your preferred field of work?  FORMTEXT       20. Would you accept employment for less than six months?  FORMCHECKBOX Yes  FORMCHECKBOX  No 21. Have you previously submitted an application for employment with UN?  FORMCHECKBOX  No  FORMCHECKBOX  Yes If yes, state details of response received FORMTEXT       22. KNOWLEDGE OF LANGUAGES. What is your mother tongue?  FORMTEXT      READWRITESPEAKUNDERSTANDOTHER LANGUAGESEasilyNot easilyEasilyNot easilyFluentlyNot fluentlyEasilyNot easily FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 23. For clerical grades only Indicate speed in words per minute List any office machines or equipment you can use Typing Shorthand English FrenchOther languages FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       24. EDUCATION. Give full details - N.B. Please give exact name of institution and titles of degrees in original language Please do not translate or equate to other degrees. A. University or equivalentName, place and countryYears attendedDegrees and academic distinctionsMain course of studyFromTo FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      B. Schools or other formal training or education from age 14 (e.g., high school, technical school or apprenticeship) Name, place and country TypeYears attendedCertificate or diploma obtainedFrom To FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      25. List professional societies and activities in civic, public or international affairs  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      26. List any significant publications you have written (do not attach)  FORMTEXT       FORMTEXT       FORMTEXT      27. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you have had. Use a separate block for each post. Include also service in the armed forces and note any period during which you were not gainfully employed. 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Tp 04 la$If $$Ifa$ ar  FORMTEXT      Starting  FORMTEXT       Final  FORMTEXT         FORMTEXT       Name of employer:  FORMTEXT       Type of business:  FORMTEXT       Address of employer:  FORMTEXT       Name of supervisor:  FORMTEXT       Number and kind of employees supervised by you:  FORMTEXT       Reason for leaving:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       FORMTEXT      FromToSalaries per annum ($)Exact title of your post Month/ Year  FORMTEXT      Month/Year  FORMTEXT      Starting  FORMTEXT       Final  FORMTEXT         FORMTEXT       Name of employer:  FORMTEXT       Type of business:  FORMTEXT       Address of employer:  FORMTEXT       Name of supervisor:  FORMTEXT       Number and kind of employees supervised by you:  FORMTEXT       Reason for leaving:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       FORMTEXT      FromToSalaries per annum ($)Exact title of your post Month/ Year  FORMTEXT      Month/Year  FORMTEXT      Starting  FORMTEXT       Final  FORMTEXT         FORMTEXT       Name of employer:  FORMTEXT       Type of business:  FORMTEXT       Address of employer:  FORMTEXT       Name of supervisor:  FORMTEXT       Number and kind of employees supervised by you:  FORMTEXT       Reason for leaving:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       FORMTEXT      FromToSalaries per annum ($)Exact title of your post Month/ Year  FORMTEXT      Month/Year  FORMTEXT      Starting  FORMTEXT       Final  FORMTEXT         FORMTEXT       Name of employer:  FORMTEXT       Type of business:  FORMTEXT       Address of employer:  FORMTEXT       Name of supervisor:  FORMTEXT       Number and kind of employees supervised by you:  FORMTEXT       Reason for leaving:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       FORMTEXT      FromToSalaries per annum ($)Exact title of your post Month/ Year  FORMTEXT      Month/Year  FORMTEXT      Starting  FORMTEXT       Final  FORMTEXT         FORMTEXT       Name of employer:  FORMTEXT       Type of business:  FORMTEXT       Address of employer:  FORMTEXT       Name of supervisor:  FORMTEXT       Number and kind of employees supervised by you:  FORMTEXT       Reason for leaving:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       FORMTEXT      28. Have you any objections to our making inquiries of your present employer?  FORMCHECKBOX  Yes  FORMCHECKBOX  No 29. Are you now, or have you ever been, a permanent civil servant in your government s employ? FORMCHECKBOX  Yes  FORMCHECKBOX  No 30. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. Do not repeat names of supervisors listed under Item 27FULL NAMEFULL ADDRESSBUSINESS OR OCCUPATION1.  FORMTEXT       FORMTEXT       FORMTEXT      2.  FORMTEXT       FORMTEXT       FORMTEXT      3.  FORMTEXT       FORMTEXT       FORMTEXT      31. State any other relevant facts. Include information regarding any residence outside the country of your nationality.  FORMTEXT       32. Have you ever been arrested, indicted, or summoned into court as a defendant in a criminal proceeding, or convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If  Yes , give full particulars of each case in an attached statement.  FORMTEXT       33. I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief. 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. DATE:  FORMTEXT       SIGNATURE:  FORMTEXT       N.B. You will be requested to supply documentary evidence, which supports the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so by the Organization, in any event, do not submit original texts of references or testimonials unless they have been obtained for the sole use of the Organization. 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