Unhcr PH 11 Form
Unhcr PH 11 Form
Unhcr PH 11 Form
UNITED
NATIONS
PERSONAL HISTORY
&iddle name
%irst name
6.
..
/.
&arried
Nationality)ies+ at -irth
Present Nationality)ies+
0. #e1 !i8orced
$9.
Entry into :nited Nations ser8ice mi4ht require assi4nment to any area o the world in which the :nited Nations mi4ht ha8e responsi-ilities. )a+ ;re there any limitations on your a-ility to per orm in your prospecti8e ield o wor<= YE# NO )-+ ;re there any limitations on your a-ility to en4a4e in all tra8el= YE# NO Permanent address $(.
#in4le
#eparated
"idow)er+
$$.
Present address
$,. $..
) + ) + E-mail:
Nationality
Telephone No. ) +
$/. !o you ha8e any dependent children= Name o @hildren YE#
Telephone*%a1 No. ) +
NO
I the answer is >yes?' 4i8e the ollowin4 in ormation: Place o Birth Gender
$/. )a+ 16. $2.
Name o #pouse
YE#
NO
3a8e you ta<en up le4al permanent residence status in any country other than that o your nationality= I answer is >yes?' which country= 3a8e you ta<en any le4al steps towards chan4in4 your present nationality= I answer is >yes?' e1plain ully7
YE#
NO NO
Name o International Or4aniAation
$5.
;re any o your relati8es employed -y a pu-lic international or4aniAation= YE# I answer is >yes?' 4i8e the ollowin4 in ormation7 N;&E Relationship
$6. (9. 22.
21.
"hat is your pre erred ield o wor<= "ould you accept employment or less than si1 months= 3a8e you pre8iously su-mitted an application or employment and*or under4one any tests with :.N.= YE# NO I so' when=
YE#
NO RE;!
Easily Not Easily
OT3ER L;NG:;GE#
(,. %or clerical 4rades only Indicate speed in words per minute En4lish Typin4 #horthand
"RITE
Easily Not Easily
#PE;B
%luently Not %luently
:N!ER#T;N!
Easily Not Easily
%rench
Other lan4ua4es
List any o ice machines or equipment and computer pro4rammes you use.
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E!:@;TION' Gi8e ull details D N.B. Please 4i8e e1act titles o de4rees in ori4inal lan4ua4e. Please do not translate or equate to other de4rees. ;TTEN!E! %RO&*TO &onth*Year &onth*Year !EGREE# and ;@;!E&I@ !I#TIN@TION# OBT;INE! &;IN @O:R#E O% #T:!Y
;. :ni8ersity or equi8alent N;&E' PL;@E ;N! @O:NTRY Please 4i8e complete address.
B. #@3OOL# OR OT3ER %OR&;L TR;INING OR E!:@;TION %RO& ;GE $. )e.4.' hi4h school' technical school or apprenticeship+
N;&E' PL;@E ;N! @O:NTRY Please 4i8e complete address. TYPE YE;R# ;TTEN!E! %RO& TO @ERTI%I@;TE# OR !IPLO&;# OBT;INE!
(/. LI#T PRO%E##ION;L #O@IETIE# ;N! ;@TIEITIE# IN @IEI@' P:BLI@ OR INTERN;TION;L ;%%;IR#
(0. LI#T ;NY #IGNI%I@;NT P:BLI@;TION# YO: 3;EE "RITTEN (DO NOT ATTACH)
(2.
E&PLOY&ENT RE@OR!7 #tartin4 with your present post' list in REEER#E OR!ER e8ery employment you ha8e had. :se a separate -loc< or each post. Include also ser8ice in the armed orces and note any period durin4 which you were not 4ain ully employed. I you need more space' attach additional pa4es o the same siAe. Gi8e -oth 4ross and net salaries per annum or your last or present post. ;. PRE#ENT PO#T )L;#T PO#T' I% NOT PRE#ENTLY IN E&PLOY&ENT+ %RO& TO #T;RTING #;L;RIE# PER ;NN:& %IN;L TYPE O% B:#INE## N;&E O% #:PEREI#OR NO. ;N! BIN! O% E&PLOYEE# #:PEREI#E! BY YO:7 EF;@T TITLE O% YO:R PO#T7
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B. PREEIO:# PO#T# )IN REEER#E OR!ER+ %RO& &ONT3*YE;R TO &ONT3*YE;R #;L;RIE# PER ;NN:& #T;RTING %IN;L TYPE O% B:#INE##7 N;&E O% #:PEREI#OR7 NO. ;N! BIN! O% E&PLOYEE# #:PEREI#E! BY YO:7 !E#@RIPTION O% YO:R !:TIE# EF;@T TITLE O% YO:R PO#T7
%RO& &ONT3*YE;R
TO &ONT3*YE;R
TYPE O% B:#INE##7 N;&E O% #:PEREI#OR7 NO. ;N! BIN! O% E&PLOYEE# #:PEREI#E! BY YO:7 !E#@RIPTION O% YO:R !:TIE#
%RO& &ONT3*YE;R
TO &ONT3*YE;R
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(5. 3;EE YO: ;NY OBGE@TION# TO O:R &;BING INH:IRIE# O% YO:R PRE#ENT E&PLOYER=
YE# YE#
NO NO
(6. ;RE YO: NO" OR 3;EE YO: EEER BEEN ; @IEIL #ERE;NT IN YO:R GOEERN&ENTI# E&PLOY= I answer is >yes?' "3EN=
,9.
RE%EREN@E#7 List three persons' not related to you' and are not current :nited Nations sta mem-ers' who are amiliar with your character and quali ications. Do not repeat names of super isors !isted under Item 2". %:LL N;&E %:LL ;!!RE## B:#INE## OR O@@:P;TION
,$.
#T;TE ;NY OT3ER RELEE;NT %;@T#. IN@L:!E IN%OR&;TION REG;R!ING ;NY RE#I!EN@E O:T#I!E T3E @O:NTRY O% YO:R N;TION;LITY.
,(. 3;EE YO: EEER BEEN ;RRE#TE!' IN!I@TE!' OR #:&&ONE! INTO @O:RT ;# ; !E%EN!;NT IN ; @RI&IN;L PRO@EE!ING' OR @ONEI@TE!' %INE! OR I&PRI#ONE! %OR T3E EIOL;TION O% ;NY L;" )e1cludin4 minor tra ic 8iolations+= YE# NO I >yes?' 4i8e ull particulars o each case in an attached statement.
,,. OT3ER ;GEN@IE# O% T3E :NITE! N;TION# #Y#TE& &;Y BE INTERE#TE! IN O:R ;PPLI@;NT#. !O YO: 3;EE ;NY OBGE@TION TO YO:R PER#ON;L 3I#TORY %OR& BEING &;!E ;E;IL;BLE TO T3E&= YE# NO
I certi y that the statements made -y me in answer to the ore4oin4 questions are true' complete and correct to the -est o my <nowled4e and -elie . I understand that any misrepresentation or material omission made on a Personal 3istory orm or other document requested -y the Or4aniAation renders a sta mem-er o the :nited Nations lia-le to termination or dismissal.
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#IGN;T:RE7
N.B. You will -e requested to supply documentary e8idence which supports the statements you ha8e made a-o8e. !o not' howe8er' send any documentary e8idence until you ha8e -een as<ed to do so -y the Or4aniAation and' in any e8ent' do not su-mit the ori4inal te1ts o re erences or testimonials unless they ha8e -een o-tained or the sole use o the Or4aniAation.
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