Do Not Write In This

INSTRUCTIONS Space

Please answer each question UNITED NATIONS

clearly and completely. PERSONAL HISTORY
Type or print in ink. Read carefully
and follow all direction. Junior Professional Officer Programme

1. NAME: Family Name First Name Middle Name Maiden name, if any

2. DATE OF Day / Mo. / Yr. 3. PLACE OF BIRTH 4. NATIONALITY AT 5. PRESENT 6. SEX

BIRTH BIRTH NATIONALITY

7. MARITAL STATUS:
Single  Married  Separated  Widow(er)  Divorced 

8. PERMANENT ADDRESS: 9. PRESENT ADDRESS (if different) 10. EMAIL ADDRESS 11. TELEPHONE NUMBER(S)
+

12. HAVE YOU ANY DEPENDANTS?

YES  NO  If the answer is "yes", give the following information:

NAME Date of Birth Relationship NAME Date of Birth Relationship

13. HAVE YOU TAKEN UP LEGAL PERMANENT RESIDENCE STATUS IN ANY COUNTRY OTHER THAN YOUR NATIONALITY?
YES NO If answer is "yes", which country?

14. HAVE YOU TAKEN UP ANY LEGAL STEPS TOWARDS CHANGING YOUR PRESENT NATIONALITY?
YES NO  If answer is "yes", explain fully:

15. 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

16. WHAT IS YOUR PREFERRED FIELD OF WORK?

17. HAVE YOU PREVIOUSLY SUBMITTED AN APPLICATION FOR EMPLOYMENT WITH THE UN? If so when?
18. KNOWLEDGE OF LANGUAGES. What is your mother tongue?

READ WRITE SPEAK UNDERSTAND

OTHER LANGUAGES Easily Not Easily Easily Not Easily Easily Not Easily Easily Not Easily

19. EDUCATION. Give full details - N.B. Please give exact titles of degrees in original language.
Please do not translate or equate to other degrees.
A. UNIVERSITY OR EQUIVALENT

ATTENDED
FROM/TO DEGREES and ACADEMIC MAIN COURSE OF
NAME, PLACE AND COUNTRY
DISTINCTIONS OBTAINED STUDY
Mo./Year Mo./Year

B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship)

ATTENDED
FROM/TO CERTIFICATES OR
NAME, PLACE AND COUNTRY TYPE
DIPLOMAS OBTAINED
Mo./Year Mo./Year

20. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS

21. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (Do not attach)

22. 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 additional pages of the same size. Give both gross and net salaries per annum for your last or present post.
POSITION ANNUAL SALARY ALLOWANC SUPERVISOR’S DATES REASON FOR
Gross and Net (after taxes) ES NAME (day/month/year) LEAVING
Starting Final in addition to
salary
A. Gross From:
Net
To: 3
B. Gross From:
Net
To:
C. Gross From:
Net
To:
D. Gross From:
Net
To:
Gross
From:

To:
 PRESENT POST IN DETAILS (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT)
A.

EXACT DATE OF EMPLOYMENT EXACT TITLE OF YOUR POST:

FROM TO
DAY/MONTH/YEAR DAY/MONTH/YEAR

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

NO. AND KIND OF EMPLOYEES REASON FOR

SUPERVISED BY YOU: LEAVING:

DESCRIPTION OF YOUR DUTIES

PREVIOUS POSTS IN DETAILS (IN REVERSE ORDER)

B.

EXACT DATE OF EMPLOYMENT EXACT TITLE OF YOUR POST:

FROM TO
DAY/MONTH/YEAR DAY/MONTH/YEAR

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

NO. AND KIND OF EMPLOYEES REASON FOR

SUPERVISED BY YOU: LEAVING:

DESCRIPTION OF YOUR DUTIES

C.

EXACT DATE OF EMPLOYMENT EXACT TITLE OF YOUR POST:

FROM TO
DAY/MONTH/YEAR DAY/MONTH/YEAR

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

NO. AND KIND OF EMPLOYEES REASON FOR

SUPERVISED BY YOU: LEAVING:

DESCRIPTION OF YOUR DUTIES

 D.

EXACT DATE OF EMPLOYMENT EXACT TITLE OF YOUR POST:

FROM TO
DAY/MONTH/YEAR DAY/MONTH/YEAR

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

NO. AND KIND OF EMPLOYEES REASON FOR

SUPERVISED BY YOU: LEAVING:

DESCRIPTION OF YOUR DUTIES

E.

EXACT DATE OF EMPLOYMENT EXACT TITLE OF YOUR POST:

FROM TO
DAY/MONTH/YEAR DAY/MONTH/YEAR

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

NO. AND KIND OF EMPLOYEES REASON FOR

SUPERVISED BY YOU: LEAVING:

DESCRIPTION OF YOUR DUTIES

23. ARE YOU NOW, OR HAVE YOU EVER BEEN, A PERMANENT CIVIL SERVANT IN YOUR GOVERNMENT'S EMPLOY?

YES  NO If answer is "yes", WHEN?

24. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER?
YES  NO 

25. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications.

FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION

26. STATE ANY OTHER RELEVANT FACTS. INCLUDE INFORMATION REGARDING AND RESIDENCE OUTSIDE THE COUNTRY
OF YOUR NATIONALITY.

27. ENTRY INTO UNITED NATIONS SERVICE MIGHT REQUIRE ASSIGNMENT AND TRAVEL TO ANY AREA OF THE WORLD IN
WHICH THE UNITED NATIONS MIGHT HAVE RESPONSIBILITIES. HAVE YOU ANY DISABILITIES WHICH MIGHT LIMIT
YOUR PROSPECTIVE FIELD OF WORK OR YOUR ABILITY TO ENGAGE IN AIR TRAVEL?
YES  NO If "yes", please describe.

28. 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 (exclude minor traffic violations)?
YES  NOIf "yes", give full particulars of each case in an attached statement.

29. MOTIVATION LETTER

30. 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:

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