Application for Local Civilian Hire. Civilian Personnel Office. Civilian Human Resources Management Office use only Received on: Status:

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1 No.: Status: Civilian Human Resources Management Office use only Received on: Application for Local Civilian Hire Civilian Personnel Office Before completing: read and comply with instructions as laid down in General Information for Applicants. To be completed in English. Please type, or print in block letters. Write X to mark a box where there are multiple choices. Write dates in DD MMYYYY format (for example ). If more space is required, continue on plain paper and repeat item numbers (see item 26). 1.a. Name of the post you are applying for: INSERT RECENT IDENTITY PHOTOGRAPH (passport size) 1.b. Number of the post you are applying for: 2.a. Family Name: 2.b. First Name: 2.c. Maiden name (if applicable): 3.a. Permanent address: 3.b. Mailing address (if different from 3.a.) 4. Contact details Phone: Skype account: 5.a. Country and place of birth: 6.a. Citizenship at birth: 5.b. Date of birth (DDMMYYYY): 6.b. Citizenship now: Choose an item. 5.c. Gender (Male / Female): 6.c. If 6.b. different from 6.a., explain: 7. Please give the following information about spouse and children: Name Date of birth (DDMMYYYY) Relationship 1

2 7.a. Secondary Education (copies of diplomas / certificates * will be requested if you are called for interview) Name, Place and Country Dates of attendance (International Calendar Dates) From To Type of School (Highschool, University, etc) Qualifications obtained (e.g. certificate(s), diploma(s)) indicating main subjects 7.b. Further (copies of diplomas / certificates * will be requested if you are called for interview) Name, Place and Country Dates of attendance (International Calendar Dates) From To Type of School (College, University, etc) Qualifications obtained (e.g. certificate(s), diploma(s)) indicating main subjects 8. Languages: describe proficiency below, by ticking the appropriate box. Please start with your mother tongue. Speaking Reading Writing Language Very Fair Very Fair Very Fair PASHTO DARI ENGLISH 9. Shorthand and typing: indicate speed in words per minute Typing: Shorthand: English Other Other 10. Indicate your computer skills (copies of diplomas / certificates * will be requested if you are called for interview) Hardware (Scanner, Printer, etc.): MS Applications: MS Word / Excel / Access / PowerPoint Computer Programs / Software: (Adobe, etc.): 2

3 11. Type(s) of driving licence Car Truck Other 12. Have you completed your compulsory military service? Not Applicable No Yes Rank: If yes, indicate dates: From To If no, give reason: Do you have further service commitments? No Yes If yes, please give details: 13. EMPLOYMENT RECORD Starting with your present post, list in reverse order, details of present / previous employment. Use a separate block for each post. If employed as a NATO Civilian, or within one of the coordinated organisations, indicate (last) grade and step. A). PRESENT EMPLOYMENT Net salary per annum (State Currency) Starting Present Reason for wishing to leave your present employment 3

4 B). PREVIOUS EMPLOYMENT Net salary per annum (State Currency) Starting Final Reason for leaving your employment C). PREVIOUS EMPLOYMENT Net salary per annum (State Currency) Starting Final Reason for leaving your employment 4

5 D). PREVIOUS EMPLOYMENT Net salary per annum (State Currency) Starting Final Reason for leaving your employment 14. List periods of residence away from home country, excluding holiday trips. Country Reason Dates (From To) 15. Have you ever been convicted of an offence other than minor traffic violations? No Yes If yes, nature of offence(s): 16. What is your present state of health? Indicate any physical disabilities or chronic illness(es). 17.a. Would you object if we contact your present employer? Yes No 17.b. Would you object if we contact your previous employer(s)? Yes No 5

6 18. References: List three persons not related to you by blood or marriage, who are familiar with your character and qualifications. Do not repeat (s) given in item 13. Name and Title Address Telephone Profession / Relationship 19. State briefly any special qualification not covered earlier, any activities or other significant features which may help in support of your application. 20. Are you willing to accept a post requiring travel? Yes, frequently Yes, occasionally No 21. How long is the notice period you would require before you could start employment? 22. Are you related by blood or marriage to someone who works at the organisation to which you are applying? If yes, please list name(s) and relationship(s): Yes No Name Relationship 23. Do you agree to the organisation considering this application for other suitable vacancies which may arise within a period of 12 months? 24. Did you use additional sheets to this application form? 25. Where did you hear about this vacancy? Yes Yes No If yes, how many? No I am willing to undergo a medical examination prior to any appointment and I have no objection to an investigation being conducted by RS CJ2 for the issue of an RS Identification Card. I realise that if I make a false statement or omission, even if unintended on my part, it may lead to the cancellation of my application and my employment will be terminated. (Signature) (Date) 6

7 Full Name: POST Applied for: EDUCATION / TRAINING RECORD Please list below all relevant education / training / courses, etc., that you have attended (also include information provided under paragraphs 8a and 8b of the application form) and you may use extra pages if necessary. Name/Title of Education/Training Main subject(s) From (DDMMYYYY) Duration To (DDMMYYYY) Fulltime/ Parttime Course Qualifications Obtained I realise that any false statement or omission, even if unintended on my part, may lead to the cancellation of my application or may render my appointment liable to termination. Signed ACE FORM (R) 169 RS Mar 11 (English) 7

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