Personal history




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INSTRUCTIONS

Please answer each question clearly and completely. TYPE OR PRINT LEGIBLY. Read carefully and follow all directions.



UNITED NATIONS

PERSONAL HISTORY

Do not Write in This Space

  1. Family name


     

First name


     

Middle name


     

Maiden name, if any


     
  1. Date of (day/month/yr)


Birth      

  1. Place of birth

     

  1. Nationality(ies) at birth

     

  1. Present Nationality(ies)

     

  1. Sex

     
  1. Height


     
  1. Weight


     

9. Marital Status:


Single  Married  Separated  Widow(er)  Divorced 
  1. 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 


  1. Permanent address


     
Telephone No. (      )      
  1. Present address


     
Telephone No. (       )      
  1. Mobile No.


(       )      
  1. E-mail:      


Skype ID:      

15. Do you have any dependent children? YES  NO  If the answer is “yes”, give the following information:

Name

Age

Relationship

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

15. (a) Name of Spouse:      


     

     

     

     

     

  1. Have you taken up legal permanent residence status in any country other than that of your nationality? YES  NO 


If answer is “yes”, which country?      

17. Have you taken any legal steps towards changing your present nationality? YES  NO 


If answer is “yes”, explain fully:      

18. Are any of your relatives employed by a public international organization? YES  NO 

If answer is “yes”, give the following information:


NAME

Relationship

Name of International Organization


     

     

     


     

     

     


     

     

     

  1. What is your preferred field of work?


     
  1. Would you accept employment for less than six months?


YES  NO 
  1. Have you previously submitted an application for employment and/or undergone any tests with U.N.? YES  NO  If so, when?      




  1. KNOWLEDGE OF LANGUAGES. What is your mother tongue?      




OTHER LANGUAGES

READ

WRITE

SPEAK

UNDERSTAND

Easily

Not Easily

Easily

Not Easily

Fluently

Not Fluently

Easily

Not Easily

     

















     

















     

















     

















  1. For clerical grades only

Indicate speed in words per minute


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

     

English

French

Other languages

     

     

Typing

   

   

   

   

Shorthand

   

   

   

   





  1. 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 equivalent



NAME, PLACE AND COUNTRY

Please give complete address.



ATTENDED FROM/TO

DEGREES and ACADEMIC DISTINCTIONS OBTAINED

MAIN COURSE OF STUDY

Month/Year

Month/Year

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

B. Post-qualification training courses

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

C. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g., high school, technical school or apprenticeship)

NAME, PLACE AND COUNTRY

Please give complete address.



TYPE

YEARS ATTENDED

CERTIFICATES OR DIPLOMAS OBTAINED

FROM

TO

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

  1. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS

     

26. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (DO NOT ATTACH)

     

  1. 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)



FROM

TO

SALARIES PER ANNUM

EXACT TITLE OF YOUR POST:

     

MONTH/YEAR

     

MONTH/YEAR

     

STARTING

     

FINAL

     

NAME OF EMPLOYER:

     

TYPE OF BUSINESS

     

ADDRESS OF EMPLOYER:

     


NAME OF SUPERVISOR      

E-mail and Telephone No.      



     

NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:      

REASON FOR LEAVING

     

DESCRIPTION OF YOUR DUTIES:

     

B. PREVIOUS POSTS (IN REVERSE ORDER)

FROM

TO

SALARIES PER ANNUM

EXACT TITLE OF YOUR POST:

     

MONTH/YEAR

MONTH/YEAR

STARTING

FINAL

     

     

     

     

NAME OF EMPLOYER:

     

TYPE OF BUSINESS:

     

ADDRESS OF EMPLOYER:

     

NAME OF SUPERVISOR      

E-mail and Telephone No      



     

     


NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:      


REASON FOR LEAVING:

     

DESCRIPTION OF YOUR DUTIES

     

FROM

TO

SALARIES PER ANNUM

EXACT TITLE OF YOUR POST:



     

MONTH/YEAR

MONTH/YEAR

STARTING

FINAL

     

     

     

     

NAME OF EMPLOYER:

     

TYPE OF BUSINESS:

     

ADDRESS OF EMPLOYER:

     

NAME OF SUPERVISOR:     

E-mail and Telephone No      



     


NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:      


REASON FOR LEAVING:

     

DESCRIPTION OF YOUR DUTIES

     

FROM

TO

SALARIES PER ANNUM

EXACT TITLE OF YOUR POST:



     

MONTH/YEAR

MONTH/YEAR

STARTING

FINAL

     

     

     

     

NAME OF EMPLOYER:

     

TYPE OF BUSINESS:

     

ADDRESS OF EMPLOYER:

     

NAME OF SUPERVISOR:     

E-mail and Telephone No      



     

NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU:      


REASON FOR LEAVING:

     

DESCRIPTION OF YOUR DUTIES

     



28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT AND FORMER EMPLOYERS? YES  NO 

29. ARE YOU NOW OR HAVE YOU EVER BEEN A CIVIL SERVANT IN YOUR GOVERNMENT’S EMPLOY? YES  NO 

If answer is “yes”, WHEN?



     

  1. 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 NAME

E-MAIL AND TELEPHONE NUMBER

BUSINESS OR OCCUPATION

     

     

     

     

     

     

     

     

     

  1. STATE ANY OTHER RELEVANT FACTS. INCLUDE INFORMATION REGARDING ANY RESIDENCE OUTSIDE THE COUNTRY OF

YOUR NATIONALITY.

     

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  NO 
If “yes”, give full particulars of each case in an attached statement.

     

33. YOUR PROFILE MAY MATCH FUTURE OPPORTUNITIES WITHIN UNICEF. DO YOU HAVE ANY OBJETION IN BEING CONTACTED BY US FOR OPPORTUNITIES MATCHING YOUR PROFILE? YES  NO 

34. 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  NO 


35. 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)



     

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.





P.11 (3-00)-E


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