P.11(2-74) - E
INSTRUCTIONS UNITED NATIONS Do not write in this space Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. PERSONAL HISTORY
1. Family name First name Middle name Maiden name, if any Sarkale Shankar baburao
2. Date Day Mo. Yr. 3. Place of Birth 4. Nationality (ies) at 5. Present nationality(ies)india 6. Sex-male Of nanded,india birth-india Birth 10.06.1975
7. Height-5.5inch 8. Weight-63 9. Marital Status Married
10. Entry into United Nations service might require assignment and travel to any area of the world in which the United Nations might have responsibilites. Have you any disabilities which might limit your prospective field of work or your ability to engage in air travel? No If ‘Yes’ please describe
11. Permanent addressyeshwant nager,house 12. Present address (if different) 13. Office telephone no. no11,nanded,dist-nanded,431602,india
Telephone no. Telephone no.
15. Have you any dependants?
YES If the answer is ‘yes’, give the following information
Name Date of Birth Relationship Name Date of Birth Relationship
Mrs,shivkanya sarkale 10.06.1980 spouce stela 08.06.2007 dauther
Sampada 10.07.2011 dauther
16. Have you taken up legal permanent residence status in any country other than that of your nationality? NO If answer is ‘yes’, which country?
17. Have you taken up any legal steps towards changing your present nationality? NO If answer is ‘yes’, explain fully:
18. Are any of your relatives employed by a public international organization? NO If answer is ‘yes’, give the following information:
NAME Relationship Name of International Organization
19. What is your preferred field of work? Public development work,an earthquake,drinking water,leadership for public participatory project.
20. Would you accept employment for less than six month 21. Have you previously submitted an application for employment NO with U.N.? If so, when? Last eight year ago
22. KNOWLEDGE OF LANGUAGES. What is your mother tongue?marathi,hindi,english
READ WRITE SPEAK UNDERSTAND OTHER LANGUAGE Easily Not Easily Not Fluently Not Easily Not Easily Easily Fluently Easily
english yes yes yes yes
hindi yes yes yes yes
23. For clerical grades only List any office machines or equipment you can use indicate speed in words per minute
Typing English French Other languages Shorthand
24. EDUCATIONAL. Give full details --- N.B. Please give exact titles of degrees in original language.
A. UNIVERSITY DEGREE OR EQUIVALENT Please do not translate or equate to other degrees.
NAME PLACE AND COUNTRY ATTENDED FROM/TO DEGREES and MAIN COURSE FO ACADEMIC STUDY DISTINCTIONS OBTAINED Mo/Year Mo./Year
Swami ramanand tirth JUNE1997 JUNE1999 1999 M.Sc. in university,Nanded,Maharashtra,india EARTHSCIENCES
B. SCHOOLS AND OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship)
NAME PLACE AND COUNTRY TYPE ATTEND FROM/TO CERTIFICATES OR DIPLOMAS OBTAINED
Mo/Year Mo/Year
Schooll of earthsciences,Swami ramanand tirth JRF MARCH2 APRIL2004 Worked as project fellow on the seismic university,Nanded,Maharashtra,india 001 microzonation in killari and around three tahils town,Maharashtra,india
Yashsa,pune training June2005 July2012 Undp,disaster risk management,righ to information act,administrative training, technical training, etc
25. LIST PROFESSIONAL SOCIETIES AND ACTIVITES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS.
Worked as district project officer in latur(undp-unv) drm programee for last eight month, september2005 to uptill now worked as junior geologist in state gov for Maharashtra,india.
26. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (Do not attach)
27. 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 addtional pages of the same size. Give both gross and net slaries per annum for your last or present post.
A. PRESENT POST (LAST POST, IF NOT CURRENTLY IN EMPLOYMENT)
FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST: junior geologist
MONTH/YEAR MONTH/YEAR STARTING FINAL
Sep2005 May2012 150000 320000
NAME OF EMPLOYER TYPE OF BUSINESS: govt of Maharashtra,rural water supply department,india
ADDRESS OF EMPLOYER zilla parishad,watersupply department, NAME OF SUPERVISOR d.t.patil,executive engineer nanded,district nanded431602,india NO. AND KIND OF EMPLOYEE REASON FOR LEAVING: due to SUPERVISED BY YOU:one departmental exam or gov decision B. Previous Post (In Reverse Order) FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:junior geologist
MONTH/YEAR MONTH/YEAR STARTING FINAL
20.102005 4.06.2012 270000 330000
NAME OF EMPLOYER Shankar baburao sarkale TYPE OF BUSINESS: government of maharashta,india
ADDRESS OF EMPLOYER;yeshwant nager,house NAME OF SUPERVISOR,executive engineer no11,nanded,Maharashtra,india NO. AND KIND OF EMPLOYEE SUPERVISED BY REASON FOR YOU:one LEAVING:departm ental exam
FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:district project officer(undp-unv) DRM PROJECT MONTH/YEAR MONTH/YEAR STARTING FINAL
12.03.2005 19.102005 132000 132000
NAME OF EMPLOYER SHANKAR BABURAO SARKALE TYPE OF BUSINESS: UNV-UNDP
ADDRESS OF EMPLOYER:COLLECTOR NAME OF SUPERVISOR RESIDENTIAL DEPUTY COLLECTOR,LATUR OFFICE,LATUR,DIST;LATURMAHARASHTRA,INDIA NO. AND KIND OF EMPLOYEE SUPERVISED BY REASON FOR YOU: ONE LEAVING: GOT HIGHER SALARY JOB
FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:PROJECT FELLOW
MONTH/YEAR MONTH/YEAR STARTING FINAL
20.04.2001 21.04.2004 70000 800000
NAME OF EMPLOYERSHANKAR BABURAO SARKALE TYPE OF BUSINESS: UNIVERSITY
ADDRESS OF EMPLOYER SWAMI RAMANAND TIRTH NAME OF SUPERVISOR UNIVERSITY,NANDED,MAHARASHTRA,INDIA NO. AND KIND OF EMPLOYEE REASON FOR SUPERVISED BY YOU:ONE LEAVING:COMPL ETION OF PROJECT 28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER? NO
29. ARE YOU NOW, OR HAVE YOU EVER BEEN, A PERMANENT CIVIL SERVANT IN YOUR GOVERNMENT EMPLOY? YES If answer is ‘yes’ WHEN?
20.10.2005-04.06.2012
30 REFERENCES : List three persons, not related to you, who are familiar with your chracter and qualifications Do not repaeat the names of supervisors listed under item 27.
FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION
Dr.deventrasingh paliwal Yeshwant Docter(ortho) nager,nanded,maharashtra
Yeshwant Govt Adovocate ADV.BALAJIRAO SHINDE nager,nanded,Maharashtra,india
Yeshwant Retired Principal P.R.sontake nager,nanded,Maharashtra,india
31. STATE ANY OTHER RELEVANT FACTS, INCLUDE INFORMATION REGARDING ANY RESIDENCE OUTSIDE THE COUNTRY OF NATIONALITY.
32. HAVE YOU EVER BEEN ARRESTED, INDICTED, OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVCTED. FINED OR IMPRISONED FOR THE VIOLATION OF ANY LAW (excluding minor traffic violation)? NO If ‘yes’ give full particulars of each case in an attached statement.
33. I certify that the statement 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:___25.06.2012______SIGNATURE:______shankar______
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 originals texts of reference or testimonials unless they have been obtained for the sole use of the Organization.