|UNITED NATIONS DEVELOPMENT PROGRAMME |
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|Personal History Form |
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|INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. If you need more space, attach |
|additional pages of the same size. |
|1. Family name (surname) |2. First names |3. Maiden name, if applicable |
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|4. Date of birth |5. Place of birth |6. Nationality at birth |7. List all your current |8. Gender |
|day month year | | |nationality(ies) | |
| | | | |Male Female |
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|9. Marital status Single Married Separated Widow(er) Divorced |
|10. Entry into United Nations service might require assignment and travel to any area of the world in which the United Nations has responsibilities. Do you |
|have/experience any condition/situation which might limit your prospective field of work or your ability to engage in air travel? |
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|No Yes If "Yes", please describe: |
|11. Permanent address |12. Present address if different from that indicated in|13. Telephone numbers |
| |box 11 |Home/Mobile; |
| | |Work; |
|Telephone No. |Telephone No. |14. Personal and/or professional e-mail address: |
|15. Have you any dependents? Yes No If the answer is “Yes”, give the following information: |
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|Name |Date of birth |Relationship |Name |Date of birth |Relationship |
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|16. Have you taken up legal permanent residence status in any country other than |17. Have you taken any steps towards changing your present nationality? |
|that of your nationality? |No Yes |
|No Yes |If “Yes”, explain fully: |
|If “Yes”, which country(ies)? | |
|18. Are any of your family members (spouse/partner, father/mother, brother/sister, son/daughter) employed in the UN Common System, including UNDP? Yes No If |
|"Yes”, give the following information: |
|Name |Relationship |Name of Organization & Duty Station |
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|19. Do you have any other (extended) family members employed by UNDP? No Yes If "Yes”, give the following information: |
|Name |Relationship |Name of Unit & Duty Station |
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|20. Would you accept employment for less than six months? Yes No |21. Have you been interviewed for any UNDP positions in the last 12 months? If |
| |so, for which post(s)? |
|22. Languages – indicate |Ability to operate in the listed language(s) in a work environment |
|mother tongue 1st | |
| |Read |Write |Speak |Understand |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
| | none | none | none | none |
| |limited |limited |limited |limited |
| |working knowledge |working knowledge |working knowledge |working knowledge |
| |proficient |proficient |proficient |proficient |
|23. For General Service support level posts only, indicate if you have passed the following tests: |
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|UN/ASAT – Administrative Support Assessment Test (formerly known as clerical test): |
|No Yes if “Yes”, date taken: |
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|UNDP/AFT – UNDP Accountancy and Finance Test: No Yes if “Yes”, date taken: |
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|24. EDUCATION: Give full details - NB Please give exact titles of degrees in original language |
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|Degrees claimed in the job application (even if they are not a requirement for the post) must be completed at the time of the application. |
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|UNDP only recognizes degrees and diplomas from educational institutions that have been recognized or otherwise approved by competent authorities at the time that |
|they were obtained. Degrees requiring little or no actual course work, degrees awarded for payment of fees only, and degrees granting substantial credits for |
|“lifetime achievements” or “life/work experience” will normally not be recognized. Incomplete degrees are unacceptable to UNDP, regardless of whether they are |
|associated with a recognized higher educational institution. |
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|A. List all educational institutions attended, including secondary school, and diplomas/degrees or equivalent qualifications obtained (highest level education |
|first). Give the exact name of the institution and the title of degrees, diplomas, etc. (Please do not translate or indicate equivalent degrees). |
| |Attended from/to |Degrees / Diplomas obtained |Main course of study |In person or |
|Name, place and country |Mo/Year Mo. /Year | | |online/remote? |
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|B. Post-qualification training courses / learning activities |
|Name, place and country |Type |Attended from/to |Certificates or Diplomas|In person or |
| | |Mo/Year Mo. /Year |obtained |online/remote? |
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|C. UN Language Proficiency Exams (if any) |
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|D. UNDP Certification Programmes (if any) |
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|25. List membership of professional societies and activities in civic, public or international affairs |
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|26. List any significant publications you have written (do not attach them) or any special recognitions you have received |
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|27. Have you already been issued a UN Index Number? No Yes If “Yes”, please indicate this number: |
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|28. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you have had. Use a separate block for each employment. Include |
|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. |
|Provide gross salary per annum and indicate currency for your last or present post. |
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|Are you a current or former UNV? Yes No If ”Yes”, please indicate roster number: |
|PRESENT POST (Last post, if not presently employed) |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year |Starting (gross) |Final (gross) | |
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|NAME OF EMPLOYER: |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Do/did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
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|Reason for leaving: |
|PREVIOUS POSTS (In reverse order i.e. most recent post first) |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
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| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
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| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| | |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year | |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
| | |
| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
|FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year |Starting (gross) |Final (gross) | |
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|NAME OF EMPLOYER |TYPE OF BUSINESS: |
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| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year |Starting (gross) |Final (gross) | |
| | | | | |
|NAME OF EMPLOYER |TYPE OF BUSINESS: |
| | |
| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| | |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
| FROM | TO |SALARIES PER ANNUM |FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: |
| | | |UN Grade of your post (if applicable): |
| | | |(do not indicate equivalency) |
| | | |Last UN step in your post (if applicable): |
|Month/Year |Month/Year |Starting (gross) |Final (gross) | |
| | | | | |
|NAME OF EMPLOYER |TYPE OF BUSINESS: |
| | |
| |EMPLOYMENT TYPE: |
| |Full time: |
| |Part Time: ( %) |
| |Type of contract: | | |
| | | | |
| |100 Series |200 series |ALD/300 series |
| |Permanent |Indefinite |Continuing |
| |FTA |TA |SSA / IC |
| |SC |UNV |Other |
|ADDRESS OF EMPLOYER |NAME OF SUPERVISOR: |
| |E-mail Address and Telephone No. of Supervisor: |
| |Did you supervise staff? If so: |
| |Number of professional staff supervised: |
| |Number of support staff supervised: |
|Description of your duties and related accomplishments: |
|Reason for leaving: |
|29. Have you any objections to our making inquiries of: |
|(a) your present employer? No Yes |
|(b) your previous employers? No Yes |
|30. Are you now, or have you ever been, a national civil servant in your government? |
|No Yes |
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|If "Yes", Indicate dates of service: Functions: Country: |
|31. References: list three persons not related to you who are familiar with your character and qualifications and who may be contacted for a reference |
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|UNDP will not seek a reference from your current employer without obtaining prior consent. However, please note that UNDP may seek references from your former |
|employers. |
|Full Name |Full Address, including E-Mail Address and Telephone |Name of Organization, |
| |Number |Business or Occupation |
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|32. State any other relevant facts in support of your application. Include information regarding any periods of residence outside the country of your |
|nationality |
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|33. Have you ever been convicted, fined, or imprisoned for the violation of any law (excluding minor traffic violations)? |
|No Yes If “Yes”, give full particulars of each case in an attached statement |
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|34. Have you ever had disciplinary measures imposed on you, including dismissal or separation from service, on the grounds of misconduct? |
|No Yes If “Yes”, give full particulars of each case in an attached statement. |
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|35. Have you ever been separated from service on the grounds of unsatisfactory performance? |
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|No Yes If “Yes”, give full particulars of each case in an attached statement. |
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|36. I certify that the information I have provided in the present document is true, complete and correct to the best of my knowledge. I understand that any |
|misrepresentation or material omission made in this document may lead to the termination of my appointment or to dismissal. I understand this also applies to any |
|other information or document requested by the Organization for the purpose of my recruitment to and employment with UNDP. |
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|In connection with this application, I authorize former employers and educational institutions to release information about my background to UNDP or its agent. My |
|signature below releases the aforesaid parties providing information about me from any liability whatsoever in collecting and disseminating the information |
|obtained. |
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|DATE: SIGNATURE: _________________________________________ |
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|Note: |
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|Applications for employment at UNDP must include a completed and signed Personal History form (P.11). By submitting a Personal History form, the applicant |
|authorizes UNDP or its agent to verify and validate all information provided in the P.11. The P.11 form is not valid without signature. The signed P.11 form serves|
|to release any party cited in the form from any liability whatsoever for releasing information to UNDP or its agent. |
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|You may be requested to provide documentary evidence of the statements you have made above. Do not, however, send any documentary evidence until you have been asked|
|to do so and, in any event, do not submit the originals of any references, testimonials or certificates of academic achievement unless they have been obtained for |
|the sole use of UNDP. |
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|If Degrees/Certificates are in foreign language, you may be required to provide official English translation at time of request. |