INSTRUCTIONS

Please answer each question clearly

and completely. Type or print in ink.
Read carefully and follow all
directions.
UNIT! N"TIONS !#$OP%NT
PRO&R"%%
PRSON"$ 'ISTOR( )OR%
*for Ser+ice Contracts and Special Ser+ices
",reements-
.. !ate
of /irth
!a %o (r 0. Place of /irth

1. Nationality *ies- at 2irth

3. Present nationality *ies-

4. Se5e

6. 'ei,ht

7. 8ei,ht

9. %arital status

Sin,le o %arried o Separated o 8idow o !i+orced o
:;. Permanent address




Telephone No.
)a5 No.
::. Present "ddress *if different-



Telephone No.
)a5 No.
:.. Office Telephone No.
Office )a5 No.
Office <mail No.
:0. !o you ha+e a spouse and=or children> (S o NO o if the answer is ?yes?@ ,i+e the followin, informationA
N"% !ate of 2irth Relationship N"% !ate of 2irth Relationship
:1. 'a+e you taken up any le,al permanent status in any country other than that of your nationality> (S o NO o
If the answer is ?yes?@ which country>

:3. 'a+e you taken any le,al steps towards chan,in, your present nationality> (S o NO o
If answer is ?yes?@ e5plain fullyA

:4. "re any of your relati+es employed 2y a pu2lic international or,aniBation> (S o NO o
If the answer is ?yes?@ ,i+e the followin, informationA
N"% Relationship Name of International Or,aniBation
:6. 8hat is your preferred field of work>
:7. CNO8$!& O) $"N&U"&S. 8hat is your mother ton,ue>
R"! 8RIT SP"C UN!RST"N!
OT'R $"N&U"&S asily Not asily asily Not asily )luently Not )luently asily Not asily
:9. )or clerical ,rades only
Indicate speed in words per minute
List any office machines or equipment you can use
n,lish )rench Other lan,ua,es
Typin,
Shorthand
P"& .
.;. !UC"TION"$. &i+e full details < N./. Please ,i+e e5act titles or de,ree in ori,inal lan,ua,e.
". UNI#RSIT( OR DUI#"$NT Please do not translate or equate to other de,rees.
N"%@ P$"C "N! COUNTR( "TTN!! )RO%=TO !&RS and "C"!%IC %"IN COURS
%o.=(ear %o.=(ear !ISTINCTIONS O/T"IN! O) STU!(
/. SC'OO$S OR OT'R )OR%"$ TR"ININ& OR !UC"TION )RO% "& :1 *e.,. hi,h school@ technical school or apprenticeship-
N"%@ P$"C "N! COUNTR( T(P "TTN!! )RO%=TO CRTI)IC"TS OR
%o.=(ear %o.=(ear !IP$O%"S O/T"IN!
.:. $IST PRO)SSION"$ SOCITIS "N! "CTI#ITIS IN CI#IC@ PU/$IC OR INTRN"TION"$ "))"IRS
... $IST "N( SI&NI)IC"NT PU/$IC"TIONS (OU '"# 8RITTN *!o not attach-
.0. %P$O(%NT RCOR!A Startin, with your present function@ list in re+erse order e+ery employment you ha+e had. Use a separate 2lock for each
)UNCTION. Include also ser+ice in the armed forces and note any period durin, which you were not ,ainfully employed. If you need more space@ attach
additional pa,es of the same siBe. &i+e 2oth ,ross and net salaries per annum for your last and present )UNCTION.
". PRSNT )UNCTION *$"ST )UNCTION@ I) NOT PRSNT$( IN %P$O(%NT-
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
/. PR#IOUS )UNCTION (IN REVERSE ORDER) P"& 0
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
P"& 1
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
)RO% TO S"$"R( PR "NNU% E"CT TIT$ O) (OUR )UNCTIONA
%ONT'=("R %ONT'=("R ST"RTIN& )IN"$
N"% O) %P$O(RA T(P O) /USINSSA
"!!RSS O) %P$O(RA N"% O) SUPR#ISORA
NO "N! CIN! O) %P$O(S
SUPR#IS! /( (OUA
R"SON )OR $"#IN&A
!SCRIPTION O) (OUR !UTIS
P"& 3
.1. !O (OU '"# "N( O/FCTIONS TO OUR %"CIN& NDUIRIS O) (OUR PRSNT %P$O(R> (S o NO o
.3. "R (OU NO8@ OR '"# (OU #R /N " PR%"NNT CI#I$ SR#"NT IN (OUR &O#RN%NTGS %P$O(> (S o NO o
If answer if ?yes?@ 8'N>

.4. R)RNCSA $ist three persons@ not related to you@ who are familiar with your character and qualifications.
Do not repeat names of supervisors isted in item !"#
)U$$ N"% )U$$ "!!RSS /USINSS OR OCCUP"TION
.6. ST"T "N( OT'R R$#"NT )"CTS IN SUPPORT O) (OUR "PP$IC"TION. INC$U! IN)OR%"TION R&"R!IN& "N( RSI!NC
OUTSI! T' COUNTR( O) (OUR N"TION"$IT(.
.7. '"# (OU /N "RRST!@ IN!ICT!@ OR SU%%ON! INTO COURT "S " !)N!"NT IN " CRI%IN"$ PROC!IN&@ OR
CON#ICT!@ )IN! OR I%PRISON! )OR T' #IO$"TION O) "N( $"8 *e5cludin, minor traffic +iolations-> (S o NO o
If ?yes?@ ,i+e full particulars of each case in an attached statement.

.9. I certify that the statements made 2y me in answer to the fore,oin, questions are true@ complete and correct to the 2est of my knowled,e and 2elief. I
understand that any misrepresentation or material omission made on a Personal 'istory form or other document requested 2y the Or,aniBation may result
in the termination of the ser+ice contract or special ser+ices a,reement without notice.
!"TA SI&N"TURA
N/. (ou will 2e requested to supply documentary e+idence which support the statements you ha+e made a2o+e. !o not@ howe+er@ send any documentary
e+idence until you ha+e 2een asked to do so and@ in any e+ent@ do not su2mit the ori,inal te5ts of references or testimonials unless they ha+e 2een
o2tained for the sole use of UN!P.