Personal History Form

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Personal History Form

f
ADB Headquarters: P.O. BOX 789, 0980 Manila ADB Website: www.adb.org Applicant ID No.
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Right Click on the picture
Instructions:
1. Personal History Form (PHF) must be submitted as an application to the specified email address before the deadline. 5. Select Copy
2. Indicate the application source (above section). 6. Paste in the Excel Form
3. Follow directions given, type or print your answer to each question clearly, completely, and concisely. 7. Resize the Picture
4. Attach another sheet if the space provided is not sufficient.

1. Family Name (Last name) First Name Middle Name

Kumar Rakesh
2. Permanent Address (City/State/Country) Telephone Numbers

I-18, Kirtidham Society, Vavol, Gandhinagar, Gujarat, India Home

Zip Code 362018 Other

3. Contact Address (City/State/Country)

House Number 27, Friebel Estate, Maseru, Lesotho Phone +26658850502


Fax

Zip Code 100 [email protected]


E-mail
Validity Dates for Contact:
DD MM YYYY DD MM YYYY

From To

4. Gender 5. Civil Status


M F Single Married Other (Please specify)

M Married
6. Date of Birth 7. Place of Birth 8. Citizenship

DD MM YYYY PATNA, BIHAR, INDIA INDIAN


7 7 1971
9. Family Members: (Spouse, Children, Parents, Parents-in-Law) Date of Birth
Name (Family Name, First Name) Nationality Relationship DD MM YYYY
Anamika Indian Wife 15 12 1976
Aaditya Surya Indian Son 4 9 2004
Apurvaa Krishna Madhav Indian Daughter 25 4 2008

10. If you have a spouse, specify his/her current occupation and name of organization. She is Professionally an Electronics Engineer, but currently not working any where

11. Name of person to be notified in case of emergency 12. Telephone Number

My Mother: Mrs. Parwati Chaudhary +919913377286


Complete Address

I- 18, Kirtidham Society, Vavol, Gandhinagar, Gujarat, India


13. Have you obtained legal/permanent residence status 14. Have you any relative in Asian Development Bank 15. Job Position preference
in any country other than that of your citizenship? or other similar international organization?

Yes No No Yes No No 1st

If "Yes" which country and when? If "Yes" give name, relationship and organization: 2nd

3rd

ADB Form No. 380/02 Revised July 2007


16. Beginning with your native language, enter all languages you know. Please indicate your proficiency by marking the appropriate box.
Language Reading Writing Speaking Understanding
Good Fair Slight Good Fair Slight Good Fair Slight Good Fair Slight

English Good Good Good Good


Hindi Good Good Good Good
Maithli Good Good Good Good
Portuguese Fair Slight Slight Fair
17. EDUCATION: (Please give full details)
A. Schools or other formal training from age 14 (e.g. High School, technical school or apprenticeship)
Period of Attendance
From To Certificates, Awards or
Name, City and Country MM YYYY MM YYYY Main Course of Study Distinctions Received Completed
Bihar Matriculation Board, Patna, Bihar, India 1986 Phy, Che, Math, Economics,
Class
Biology,
10th Sankrit, Hindi,
Yes English,
Yes NoHistory, Geography
Magadh University, Gaya, Bihar, India1986 1988 Physics, Chemistry, Math,
Class
English,
12 (Intermediate
Hindi Science)
Yes Yes No
Yes No
B. University or Equivalent
Period of Attendance
From To Certificates, Awards or
Name, City and Country MM YYYY MM YYYY Main Course of Study Distinctions Received Completed

Aug
Bangalore University, Karnataka, 1989
India July 1993 Total 50 papers in 4 yearBachelor
includinginlab
Civil
and Engineering
projects
Yes all
Yesrelated
No to civil engineerin

Yes No

Yes No
C. Post-Graduate Studies
Period of Attendance
From To Certificates, Awards or
Name, City and Country MM YYYY MM YYYY Main Course of Study Distinctions Received Completed

JanAfrica,
Management College of Southern 2005 Sep
South Africa 2007 HRM, Operation Management,
Masters
Research
in Business
Method
Administration
Marketing
Yes Yes No Management, Econo
Yes No

Yes No
D. Part-time Study Program
Period of Attendance
From To Certificates, Awards or
Name, City and Country MM YYYY MM YYYY Main Course of Study Distinctions Received Completed

20thand
United Nation Institute for Training March
2006 28th
Research April
2006Switzerland
(UNITAR), Certificate Course on Arbitration
Certificate
andCourse
Alternative
on Arbitration
Dispute
Yes Yes Resolution
and
No Alternative Disput

16thand
United Nation Institute for Training June
2008 25th
Research July
2008Switzerland
(UNITAR), Certificate Course on Trade
Certificate
FinanceCourse
Infrastructure
on Trade
YesDevelopment
Finance
Yes No Infrastructure Deve

Yes No
E. Professional qualifications or specialized training (e.g. Certified Public Accountant, Chartered Secretary, Bar Admission, Banking, Engineering, etc.)

18. Other special qualifications in financial, development, or planning institutions. (Please give details. Use separate sheet, if necessary)

19. Membership in professional societies and activities in civic, public, or international affairs.

I was member of the following Professional Associations:


• Affiliate Member of Institution of Civil Engineer in 2003, UK
• Member of Indian Roads Congress, in 1998
• Institution of Surveyors, India, in 1995

20. List significant publications you have written. (Do not attach)

No Specific Publication, However written dissertation in my final year MBA on Project Management Problems their frequency, cause
and impact on Project duration and cost as related to Internationally Funded Projects, and Specifically to water supply projects in
Mozambique.

21. List information technology skills in terms of software, programming languages, ERP systems, equipment and others, and indicate your proficiency level (i.e. "L" for low;
A for average; "H" for High)

MS Excel: Excellent
MS Word: Excellent
MS Power Point: Excellent
MS Project: Good
Worked on STAAD and CAD in past.
22. Have you previously submitted an application in ADB? If "Yes", indicate date. Yes No DD MM YYYY

23. Have you ever been employed by/assigned in ADB (regular, consultant, contractual or temporary)?
If "Yes", please provide details in your Employment Record in item below. Yes No

No
24. EMPLOYMENT RECORD: (Starting with your present/latest job, list every job you have had. Use a separate block for each job. Include also service in the armed forces
and periods during which you were not gainfully employed. If you need more space, attach additional pages of the same format.
For consulting assignments, please indicate equivalent person-months.
From To Annual Basic Salary Position/Job Title:

DD MM YYYY DD MM YYYY Starting Latest Senior Procurement Specialist


2 April 2008 Till date USD 120000 USD 136080 Name and Position of Supervisor:

Others (e.g. Bonuses, allowances, profit-sharing, etc.) Mr. Jorge Lynch, Procurement Manager
Term: Part-time Full-time Full time Apart from above I am getting paid for house allowance.
Number and Category of Employees you Supervised:

Name and Address of Organization: 2


Local Address: Cardono (Emerging Market Group), MCA-Lesotho Authority, 5th Floor, Post Office Building,
Reason for Maseru, Lesotho
Leaving/Wanting to Leave:

Presently Working

Nature of Business: Telephone No.

Consulting +266 58850502


Describe your Work: (Pls. use allotted fields. Do not write in shaded areas or add spaces. You may attach a CV containing additional information, if necessary.)
Proving technical assistance and guidance to MCA-Lesotho for Procurement and Contract Management and guiding them to follow
MCC Procurement and Contract Management Procedures. In doings so, I am responsible for Managing and Executing procurement
of all project activities (Goods, works and Services) of the project, Finalization of Prequalification Document, Finalization of
Prequalification application evaluation, Finalization of Bid Documents for Design and Build Works Contract, Procurement of Medical
Goods, Preparation of Technical Specification, Estimate/budget based on market survey, Verification of conditions of contract,
Technical specification, bill of quantities, drawings and finalization of bid document, preparation of Request for proposal, launching
the bid, receiving bid, evaluating the bid, recommend the award, taking all the approvals from different authority (MCC or MCA-
Lesotho), finalize
From the contract, managing the To logistics of delivery of goods, assisting
Annual Basic Salaryin inspection of goods before
Position/Job Title: acceptance,
management
DD MM of YYYY
contract to facilitate
DD the MMcompletion
YYYY of the contract as per conditionsLatest
Starting of contract, preparation
Procurementand updating the
Advisor
procurement plan and procurement implementation plan, liaison with all parties such as supplier, contractor, service provider the
fundingNovagency 2005
and receiving all the March 2008MCC or MCA-Lesotho.
approval from USD 117173Commented USD 122640
and Finalized theand
Name Procurement Operation
Position of Supervisor:
Manual for the project. Providing input for finalizing monthly
Others (e.g. Bonuses, and Quarterly
allowances, report.etc.)
profit-sharing, Here for improvement of performance of the
procurement and contract, I am providing training to MCA-L and other Implementing Entity staff.
Term: Part-time Full-time Full time Salary includes all remuneration and remuneration. Mr. Miguel Alves, CEO
Name and Address of Organization: No. and Category of Employees you Supervised:
FIPAG - Fundo de Investimento e Património de Abastecimento de Água of Maputo- Initially 3 but latter 2, one is procurement officer and
Mozambique, Rua General Pereira d’Eça Nº 241-R/C, Maputo, Mozambique
Tel: +258 21491529 Reason for Leaving:
Fax: +258 21498881
Contract Completion
Email: [email protected]
Nature of Business: Telephone No.

Implementing Agency of Internationally funded project under Ministry of Water, Govt. of Mozambique.
25821491529
Describe your Work:
Responsible for Managing and Executing procurement of all project activities (Goods, works and Services) of the project,
Preparation of Estimate and budget based on market survey, preparation of prequalification document, evaluation of
prequalification application, Verification of conditions of contract, Technical specification, bill of quantities, drawings and
finalization of bid document, preparation of detailed Terms of Reference, Request for proposal, launching the bid, receiving bid,
evaluating the bid, recommend the award, taking all the approvals from different authority (funding agency, Ministry of Finance,
Internal approval for post review), Negotiate with consultants, finalize the contract, managing the logistics of delivery of goods,
management of contract to facilitate the completion of the contract as per conditions of contract, preparation and updating the
procurement Fromplan, liaison with all parties suchTo as supplier, contractor,Annual service provider
Basic Salary the fundingPosition/Job
agency and Title:receiving all the
approval from the funding agency. Commented the Procurement Manual of Second National Water Development Project and
DD MM YYYY DD MM YYYY Starting Latest
Prepared Procurement Manual for Water Service and Institutional Project, Mozambique. Providing input for finalizing Procurement and Contract
monthly Specialist
and
Quarterly
Nov report. Providing
2004 technical advice
Oct for preparation
2005 of new project
USD 56,000 for submission
USD 56,000 and approval by the World Bank and
Name and Position of Supervisor:
other financers.
Others (e.g. Bonuses, allowances, profit-sharing, etc.)
Emphasizing transparency, economy and efficiency in the procurement process while ensuring the quality of the works, goods and
service.
Term: I have also provided
Part-time procurement
Full-time Full Time support to EIB, EU funded project (Maputo Water Supply Mr. Antonio
Project) Chambal,
which National Director
is implemented
by the same project implementation unit, FIPAG for about 1.5 years. I am also responsible for contract managements of all the
Name and Address of Organization: No. and Category of Employees you Supervised:
works goods and consultancy contract of the World Bank funded Project.
Ministry of Education, Government of Mozambique 5 Procurement officer: 2 Procurement Assistant 2 Lo
167, 24 de Julho, Maputo, Mozambique
Tel: 00258 21492973 Reason for Leaving:

Contract Completion
Nature of Business: Telephone No.

Ministry of Education, Government of Mozambique, they were00258


Implimenting
21492973 Education Sector Reforms Project
Describe your Work:
Responsible for Managing and Executing procurement of all project activities (Goods, works and Services) of the project,
Preparation of Estimate and Budget based on market survey, Verification of conditions of contract, Technical specification, bill of
quantities, drawings and finalization of bid document, preparation of detailed Terms of Reference, Request for proposal, launching
the bid, receiving bid, evaluating the bid, recommend the award, taking all the approvals from different authority (funding agency,
Ministry of Finance, Internal approval for post review), Negotiate with consultants, finalize the contract, management of contract to
facilitate the completion of the contract as per conditions of contract, preparation and updating the procurement plan, liaison with
all parties such as supplier, contractor, service provider the funding agency and receiving all the approval from the funding agency.
Provided input for finalizing monthly and -Quarterly
If you have hadreport.
more thanManaging the
four jobs, attach logistics
additional pages of delivery
to record them - of goods, Emphasizing transparency,
economy and efficiency in the procurement process while ensuring the quality of the works, goods and service. . I was also
From To Annual Salary Position/Job Title:

DD MM YYYY DD MM YYYY Starting Latest Procurement Engineer/Technical Consultant


April 2003 October 2004 USD 26,400 + all facility
USD 39600 + all facility
Name and Position of Supervisor:
Others (e.g. Bonuses, etc.)

Term: Part-time Full-time Housing, Local and international travel etc. Mr. Luis de Macedo, Regional Director Louis Berger I
Name and Address of Organization: No. and Category of Employees you Supervised:
Louis Berger, USA, None
Local Address:
Paulo Samuel Kankhomba Avenue Reason for Leaving:
No. 622
Contract Completion
Maputo
Mozambique
Nature of Business: Telephone No.
Tel : 258-21-308914/16
Consulting
Fax : 258-1-308915 258-21-308914/16

Describe your Work:


Responsible for Managing and Executing procurement of all project activities (Goods, works and Services) of the project,
Preparation of Estimate and Budget based on market survey, Verification of conditions of contract, Technical specification, bill of
quantities, drawings and finalization of bid document, preparation of detailed Terms of Reference, Request for proposal, launching
the bid, receiving bid, evaluating the bid, recommend the award, taking all the approvals from different authority (funding agency,
Ministry of Finance, Internal approval for post review), Negotiate with consultants, finalize the contract, management of contract to
facilitate the completion of the contract as per conditions of contract, preparation and updating the procurement plan, liaison with
all parties such as supplier, contractor, service provider the funding agency and receiving all the approval from the funding agency.
Provided input for finalizing monthly and Quarterly report. Managing the logistics of delivery of goods, Emphasizing transparency,
economy and efficiency in the procurement process while ensuring the quality of the works, goods and service. Also worked as
Procurement Specialist on Global Strategy for Reform of the Public Sector of Mozambique., funded by International Monetary fund,
European
25. State Union,
any other United
relevant Kingdom
facts. Include Department
international for stating
experience, International
place and Development
duration. for many projects of services and supply of goods for
about 6 month. I was also responsible for contract managements (Finalization of variation, claim and amendment to the contract)
I have
of worked
all the worksingoods
India,andMozambique
consultancy and Lesothoofaparat
contract from this
the Project, I have under
especially worked in Yemen for 21 days for auditing the World Bank project procureme
Maputo.

26. Have you any objections to our making inquiries with your present employer? Yes No

If "Yes", why? No

27. Are you physically able and willing to travel?


Yes No By Air? Yes No Frequently Occasionally

Yes Yes Yes

28. Have you ever been arrested, indicted or summoned into court as defendant in a criminal proceeding or convicted, fined or imprisoned for the violation of any law
(excluding minor traffic violations)?
Yes No

No
29. Have you ever been discharged or forced to resign from any position? Yes No

If "Yes", give details: No


NA

30. What approximate starting salary will be acceptable to you for the position you have in mind? (Professional Staff and Young Professionals are paid in US dollars. Local
Staff are paid in local currency.)

USD 12000 per month

31. If your services are required at the earliest possible time, how soon will you be available to start work after being found suitable and physically fit for employment?

Immediately Week's Time Other (Please specify) About 4 weeks time, however it also depends on the work, where I am

32. 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. Permission is given to
ADB to make such investigations as are necessary on the information given above. I understand that any misrepresentation or material omission made herein or in any
other document requested by ADB renders a staff member liable to termination of service or dismissal.

Date: Signature:
21-7-2010

N.B. You will be requested to supply documentation 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 ADB, and in any event, do not submit the original texts of reference or testimonials or
publications unless they have been obtained for the sole use of ADB.

ADB Form No. 380/02 Revised July 2007

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