2009 National Competitive Recruitment Examination Application Form (P-11) PERSONAL HISTORY. 1. Family name First name Middle name Maiden name, if any

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1 INSTRUCTIONS Please answer each question clearly and completely. TYPE ONLY. Handwritten applications will not be accepted National Competitive Recruitment Examination Application Form (P-11) U N I T E D N A T I O N S PERSONAL HISTORY Do Not Write in This Space 1 1. Family name First name Middle name Maiden name, if any 2. Date of Birth (Day ) Height (cm) 8. Weight (kg) 9. Marital Status 3. Place of birth 4. Nationality(ies) at birth 5. Present nationality(ies) 6. Gender Single Married Separated Widow(er) Divorced 10. Entry into United Nations service might require assignment to any area of the world in which the United Nations might have responsibilities. (a) Are there any limitations on your ability to perform in your prospective field of work? YES NO (b) Are there any limitations on your ability to engage in all travel? YES NO 11. Permanent address: (can always be used to contact you) Address 1 st line: Address 2 nd line: City and Postal code: Country (if U.S.A., leave it blank): 12. Mailing address: (to be used in Dec 2009 or Jan. 2010) Address 1 st line: Address 2 nd line: City and Postal code: Country (if U.S.A., leave it blank): Telephone No. ( ) Telephone No. ( ) 13. OfficeMobile telephone No. ( ) 14. Primary Secondary 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 F 16. Have you taken up legal permanent residence status in any country other than that of your nationality? YES NO If answer is yes, which country? 17. Have you taken any legal steps towards changing your present nationality? YES NO If answer is yes, explain fully. 18. 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 19. What is your preferred discipline? - Select Discipline - (THIS IS A REQUIRED FIELD) 20. Would you accept employment for less than six months? 21. Have you previously submitted an application for employment with U.N.? YES NO If so, when? 22. KNOWLEDGE OF LANGUAGES. What is your main language? OTHER LANGUAGES READ WRITE SPEAK UNDERSTAND Easily Not Easily Easily Not Easily Fluently Not Fluently Easily Not Easily 23. Typing speed and knowledge of computer software: Typing Speed (Indicate speed in words per minute) English French Other Languages List software you are proficient with:

2 24. EDUCATION. Give full details - N.B. Please give exact titles of degrees in original language. Please do not translate or equate to other degrees. 2 A. University or equivalent NAME, PLACE AND COUNTRY ATTENDED FROM TO Mo. Year Mo. Year DEGREES and ACADEMIC DISTINCTIONS OBTAINED MAIN SUBJECT OF STUDY B. Schools or other training or education from age 14 (e.g. high school, technical school or apprenticeship) ATTENDED FROM TO NAME, PLACE AND COUNTRY TYPE Mo. Year Mo. Year CERTIFICATES OR DIPLOMAS OBTAINED 25. List professional societies and activities in civic, public or international affairs you are a member of 26. List any significant publications you have written (DO NOT ATTACH) 27. EMPLOYMENT RECORD: 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. Give net salary per annum for your last or present post. A. PRESENT POST (Last post, if not presently in employment) FROM TO NET SALARY PER ANNUM EXACT TITLE OF YOUR POST:

3 FROM TO NET SALARY PER ANNUM EXACT TITLE OF YOUR POST: 3 FROM TO NET SALARY PER ANNUM EXACT TITLE OF YOUR POST: FROM TO NET SALARY PER ANNUM EXACT TITLE OF YOUR POST:

4 4 28. Have you any objections to our making inquiries of your present employer? YES NO 29. Are you now or HAVE YOU EVER BEEN A CIVIL SERVANT in your Government s employ? YES NO If answer is yes, WHEN? 30. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. (Do not repeat names of supervisors listed under Item 27.) FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION 31. STATE ANY OTHER RELEVANT FACTS. Include information regarding any residence outside the country of your nationality. 32. Have you 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 under Item OTHER AGENCIES OF THE UNITED NATIONS SYSTEM MAY BE INTERESTED IN OUR APPLICANTS. DO YOU HAVE ANY OBJECTION TO YOUR PERSONAL HISTORY FORM BEING MADE AVAILABLE TO THEM? YES NO 34. 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. 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: SIGNATURE: (When applying by , type your name) 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 original texts of references or testimonials unless they have been obtained for the sole use of the Organization.

5 2009 National Competitive Recruitment Examination: Additional Data Form 5 Family name First name Gender Date of birth (date month year) Discipline M Select Discipline - Present Nationality Referring to the table below, please type in the 3 character code of your present nationality. If you have more then one nationality, you can select only ONE to participate in the NCRE. Code Nationality Code Nationality Code Nationality AFG Afghanistan KIR Kiribati ROK Republic of Korea AND Andorra KUW Kuwait SAM Samoa ANG Angola LAO Lao SNM San Marino ANT Antigua and Barbuda LES Lesotho STP Sao Tome BAH Bahrain LIR Liberia SAU Saudi Arabia BGD Bangladesh LIB Libyan Arab Jamahiriya SIL Sierra Leone BOT Botswana LIE Liechtenstein SOI Solomon Islands BRU Brunei Darussalam LIT Lithuania SWA Swaziland CMB Cambodia MAS Marshall Islands TAJ Tajikistan COI Comoros MEX Mexico TIM Timor-Leste PRC Congo MIC Micronesia TON Tonga DEN Denmark MOL Moldova TUK Turkmenistan DRK D.P.R. of Korea MNC Monaco TUV Tuvalu GAB Gabon MNT Montenegro UAE United Arab Emirates GBS Guinea-Bissau NAM Namibia LGW United Kingdom HON Honduras NOR Norway USA United States of America IRA Iran OMA Oman VAN Vanuatu IRE Ireland PAL Palau YEM Yemen JPN Japan QAT Qatar Examination Location Referring to the table below, please type in the three character code of your preferred examination location. Keep in mind that the examination will be held in February 2009 and the United Nations is NOT responsible for any travel costs related to the written examination. The following are tentative examination locations. In the event that the location you choose becomes unavailable, we will assign a location near your present address. Code Country Code Country Code Country AND Andorra MAS Marshall Islands TUV Tuvalu ANG Angola MEX Mexico UAE United Arab Emirates ANT Antigua and Barbuda MIC Micronesia LGW United Kingdom BAH Bahrain MNC Monaco USA United States of America DAC Bangladesh MNT Montenegro VAN Vanuatu BRU Brunei Darussalam NAM Namibia YEM Yemen CMB Cambodia NOR Norway COI Comoros OMA Oman DRK DPR of Korea PAL Palau GAB Gabon QAT Qatar Other UN Offices GBS Guinea-Bissau ROK Republic of Korea ADD Addis Ababa, Ethiopia HON Honduras SAM Samoa BKK Bangkok, Thailand IRA Iran SNM San Marino BEY Beirut, Lebanon DUB Ireland STP Sao Tome GVA Geneva, Switzerland JPN Japan SAU Saudi Arabia LGW London, United Kingdom KIR Kiribati SIL Sierra Leone NBO Nairobi, Kenya KUW Kuwait SWA Swaziland NYC New York, UN Headquarters LAO Lao TAJ Tajikistan SCL Santiago, Chile LIBERIA Liberia TIM Timor-Leste VAU Vienna, Austria LIB Libyan Arab Jamahiriya TON Tonga LIE Liechtenstein TUK Turkmenistan

6 List of Courses Taken: List all relevant courses taken, in the original language. If not in English or French, type the translation in the next column. 6 Name of Course in Original Language Translation in English.