ࡱ> '` 0)bjbjLULU 8.?.?-܃܃܃܃|X4Mj@ؘؘؘؘTӳ,$hXؘؘaaa:ؘؘaaa6` ؘ 0[( ܃9N h 0Mw w8 w aW MAF$=F INSTRUCTIONS Please answer each question clearly and completely. TYPE OR PRINT LEGIBLY. Read carefully and follow all directions.  PERSONAL HISTORY PROFILEVacancy Announcement Number:  FORMTEXT      How did you learn about this vacancy?  FORMTEXT      Family name  FORMTEXT      First name  FORMTEXT      Middle name  FORMTEXT      Maiden name, if any  FORMTEXT      Date of (dd/mm/yyyy) Birth  FORMTEXT      Place of birth  FORMTEXT      Nationality(ies) at birth  FORMTEXT      Present Nationality(ies)  FORMTEXT      Sex  FORMTEXT      Height  FORMTEXT        Weight  FORMTEXT      9. Marital Status: Single  FORMCHECKBOX  Married  FORMCHECKBOX  Separated  FORMCHECKBOX  Widow(er)  FORMCHECKBOX  Divorced  FORMCHECKBOX 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?  FORMCHECKBOX YES  FORMCHECKBOX  NO (b) Are there any limitations on your ability to engage in all travel?  FORMCHECKBOX  YES  FORMCHECKBOX  NO Permanent address  FORMTEXT       Telephone No. ( FORMTEXT       )  FORMTEXT      Present address  FORMTEXT       Telephone/Fax No. (  FORMTEXT       )  FORMTEXT      Office Telephone No. (  FORMTEXT       ) FORMTEXT       Office Fax No. ( FORMTEXT      )  FORMTEXT       E-mail:  FORMTEXT       15. Do you have any dependent children? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If the answer is  yes , give the following information:Name of ChildrenDate of Birth (day/mo/year)Place of BirthNationalityGender  FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      15. (a) Name of Spouse  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Have you taken up legal permanent residence status in any country other than that of your nationality? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If answer is  yes , which country?  FORMTEXT        17. Have you taken any legal steps towards changing your present nationality? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If answer is  yes , explain fully:  FORMTEXT      18. Are any of your relatives employed by UN or related organization? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If answer is  yes , give the following information:  FORMTEXT      NAMERelationshipName of Organization FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      What is your preferred field of work?  FORMTEXT      Would you accept employment for less than six months? YES  FORMCHECKBOX  NO  FORMCHECKBOX  Have you previously submitted an application for employment and/or undergone any tests with U.N.? YES  FORMCHECKBOX  NO FORMCHECKBOX  If so, when? FORMTEXT       KNOWLEDGE OF LANGUAGES. What is your mother tongue?  FORMTEXT       OTHER LANGUAGESREADWRITESPEAKUNDERSTANDEasilyNot 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 Describe your computer skills and list any computer applications with which you are fully proficient.Word processing: FORMTEXT      Database: FORMTEXT      Graphic & presentation: FORMTEXT      Programming language: FORMTEXT      Other computer skills: FORMTEXT       EDUCATION, Give full details  N.B. Please give exact titles of degrees in original language. Please do not translate or equate to other degrees. A. University or equivalentNAME, PLACE AND COUNTRY Please give complete address.ATTENDED FROM/TODEGREES and ACADEMIC DISTINCTIONS OBTAINEDMAIN COURSE OF STUDYMonth/YearMonth/Year FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       B. 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LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (DO NOT ATTACH)  FORMTEXT      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. If you need more space, attach additional pages of the same size. Give both gross and net salaries per annum for your last or present post. A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT) FROMTOSALARIES PER ANNUM (or UN grade/level)EXACT TITLE OF YOUR POST:  FORMTEXT      MONTH/YEAR  FORMTEXT      MONTH/YEAR  FORMTEXT      STARTING  FORMTEXT      FINAL  FORMTEXT      NAME OF EMPLOYER:  FORMTEXT      TYPE OF BUSINESS  FORMTEXT      ADDRESS OF EMPLOYER:  FORMTEXT      NAME OF SUPERVISOR  FORMTEXT      NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:  FORMTEXT      REASON FOR LEAVING  FORMTEXT      DESCRIPTION OF YOUR DUTIES:  FORMTEXT       B. PREVIOUS POSTS (IN REVERSE ORDER) FROMTOSALARIES PER ANNUMEXACT TITLE OF YOUR POST:  FORMTEXT      MONTH/YEARMONTH/YEARSTARTINGFINAL FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      NAME OF EMPLOYER:  FORMTEXT      TYPE OF BUSINESS:  FORMTEXT      ADDRESS OF EMPLOYER:  FORMTEXT      NAME OF SUPERVISOR:  FORMTEXT       NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:  FORMTEXT       REASON FOR LEAVING:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT      FROMTOSALARIES PER ANNUMEXACT TITLE OF YOUR POST:  FORMTEXT      MONTH/YEARMONTH/YEARSTARTINGFINAL FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      NAME OF EMPLOYER:  FORMTEXT      TYPE OF BUSINESS:  FORMTEXT      ADDRESS OF EMPLOYER:  FORMTEXT      NAME OF SUPERVISOR:  FORMTEXT       NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:  FORMTEXT       REASON FOR LEAVING:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT      FROMTOSALARIES PER ANNUMEXACT TITLE OF YOUR POST:  FORMTEXT      MONTH/YEARMONTH/YEARSTARTINGFINAL FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      NAME OF EMPLOYER:  FORMTEXT      TYPE OF BUSINESS:  FORMTEXT      ADDRESS OF EMPLOYER:  FORMTEXT NAME OF SUPERVISOR:  FORMTEXT      NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:  FORMTEXT       REASON FOR LEAVING:  FORMTEXT      DESCRIPTION OF YOUR DUTIES FORMTEXT       28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER? YES  FORMCHECKBOX  NO FORMCHECKBOX  29. ARE YOU NOW OR HAVE YOU EVER BEEN A CIVIL SERVANT IN YOUR GOVERNMENT S EMPLOY? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If answer is  yes , WHEN?  FORMTEXT       REFERENCES: List three persons, not related to you, and are not current United Nations staff members, who are familiar with your character and qualifications. Do not repeat names of supervisors listed under Item 27.FULL NAMEFULL ADDRESSBUSINESS OR OCCUPATION FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      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)? YES  FORMCHECKBOX  NO  FORMCHECKBOX  If  yes , give full particulars of each case in an attached statement.  FORMTEXT      33. OTHER AGENCIES OF THE UNITED NATIONS SYSTEM MAY BE INTERESTED IN OUR APPLICANTS. DO YOU HAVE ANY OBJECTION TO YOUR PERSONAL HISTORY FORM BEING MADE AVAILABLE TO THEM? YES  FORMCHECKBOX  NO  FORMCHECKBOX  34. 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 (day, month, year)  FORMTEXT      SIGNATURE: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 and, in any event, do not submit the original texts of references or testimonials unless they have been obtained for the sole use of the Organization.  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