Personal History P11 Form s1
Total Page：16
File Type：pdf, Size：1020Kb
UNITED NATIONS
PERSONAL HISTORY
1. Family name First name Middle name Maiden name, if any
2. Day Mo. Yr. 3. Place of birth 4. Nationality (ies) at birth 5. Present nationality (ies) 6. Sex Date of Birth 7. Marital status: Single Married Separated Widow(er) Divorced 8. Full Address 9. Telephone No. 10. (A) Passport/Identity Card No.
(B) Ration Card No
Email:
11. Have you any dependents? YES NO If the answer is “yes”, give the following information:
NAME Date of Birth Relationship NAME Date of Birth Relationship
12. Have you taken any legal steps towards changing your present nationality? YES NO If answer is “yes”, explain fully:
13. 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
14. What is your preferred field of work?
15. KNOWLEDGE OF LANGUAGES. What is your mother tongue?
READ WRITE SPEAK UNDERSTAND Not Not Not Not OTHER LANGUAGES Easily Easily Easily Easily Easily Easily Easily Easily
16. For clerical grades only
Indicate speed in words per minute Language Name Typing Short Hand
17. Special Skills (B) Book Keeping 18. EDUCATIONAL. Give full details - A. UNIVERSITY OR EQUIVALENT
Year Attended Exact Title Institute Name Institute Place Degree Main Course Field of Study of Degree From To
B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship) Year Attended High Class Certificate or Institute Name Institute Place Completed diploma obtained From To
19. Would you accept employment in any area where the United Nations Relief & Works Agency for Palestine Refugees Operate? If “no” explain why?
20 EMPLOYMENT RECORD: Start with your present post and list in reverse order every employment you have had. . FROM TO SALARIES / Annual ($) EXACT TITLE OF POST: STARTING Salary FINAL Salary
Post Grade / Step: NAME OF EMPLOYER: TYPE OF BUSINESS:
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:
Phone of supervisor:
Number of employees supervised by you:
Reason for Leaving Kind of employees supervised by you:
DESCRIPTION OF YOUR DUTIES B. PREVIOUS POSTS (IN REVERSE ORDER) FROM TO SALARIES / Annual ($) EXACT TITLE OF POST: STARTING Salary FINAL Salary
NAME OF EMPLOYER: TYPE OF BUSINESS:
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:
Phone of supervisor:
Number of employees supervised by Kind of employees you: supervised by you:
Reason for Leaving
DESCRIPTION OF YOUR DUTIES
FROM TO SALARIES / Annual ($) EXACT TITLE OF POST: STARTING Salary FINAL Salary
NAME OF EMPLOYER: TYPE OF BUSINESS:
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:
Phone of supervisor:
Number of employees supervised by you: Kind of employees supervised by you:
Reason for Leaving
DESCRIPTION OF YOUR DUTIES
FROM TO SALARIES / Annual ($) EXACT TITLE OF POST: STARTING Salary FINAL Salary
NAME OF EMPLOYER: TYPE OF BUSINESS:
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:
Number of employees supervised by Kind of employees you: supervised by you:
Reason for Leaving
DESCRIPTION OF YOUR DUTIES
FROM TO SALARIES / Annual ($) EXACT TITLE OF POST: STARTING Salary FINAL Salary
NAME OF EMPLOYER: TYPE OF BUSINESS:
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:
Number of employees supervised Kind of employees supervised by you: by you:
Reason for Leaving
DESCRIPTION OF YOUR DUTIES
21. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT AND /OR PREVIOUS EMPLOYER? YES NO If “no” explain why?
22. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications.
FULL NAME FULL ADDRESS BUSINESS E-MAIL PHONE NUMBER
23. STATE ANY OTHER RELEVANT FACTS, SPECIALIZED HOBBIES, SEERVICE IN THE ARMED FORCES INCLUDING INFORMATION REGARDING RESIDENCE OR PROLONGED TRAVEL ABROAD.
24. HAVE YOUR 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.
25. I certify that the statements made by me in answer to the foregoing questions are true, complete and correct in all respect to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on a Personal History form renders me liable to termination.
Date: