UNITED NATIONS DEVELOPMENT PROGRAMME

Personal History Form

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

4. Date of Birth 5. Place of birth 6. Nationality at 7. List all your current 8. Gender
day month year birth nationality(ies)
Male Female

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 might have responsibilities. Have you any disabilities which might limit your prospective
field of work or your ability to engage in air travel?

No Yes If "yes" please describe:

11. Permanent address 12. Present address if different 13. Office Telephone number
from that indicated in box 11. Home/
Mobile;
Work;

Telephone No. Telephone 14. Personal and/or professional e-mail

No. address:
15. 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

16. Have you taken up legal permanent residence 17. Have you taken any steps towards
status in any country other than that of your changing your present nationality?
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 answer is "yes”, give the
following information:
Name Relationship Name of Organization

19. Do you have any other (extended) family members in UNDP? No Yes if answer is "yes”, give the
following
information:
Name Relationship

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20. Would you accept employment for less than six 21. Have you been interviewed for any UNDP
months? Yes No positions in the last 12 months? If so, for which
post(s)?
22. Languages Ability to operate in the listed language(s) in a work
- mother environment
tongue
1st
Read Write Speak Understand
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
none none none none
limite limite limite limite
d d d d
working working working working
knowledge knowledge knowledge knowledge
proficient proficient proficient proficient
23. For support General Service level posts only, indicate if you passed the following tests:

ASAT – Administrative Support Assessment Test (formerly known as clerical test): No Yes if “Yes”,

date taken UN Accounting Assistant Exam : No Yes No Yes if “Yes”, date

taken

24. EDUCATION: Give full details - NB Please give exact titles of degrees in original language

A. List all institutions of learning attended since age 14 and diplomas/degrees or equivalent qualifications
obtained (highest education first). Give the exact name of institution and title of degrees, diplomas, etc.
(Please do not translate or equate to other degrees.)
Attended From/To Certificates, diplomas Main course of study
Name, place and country Mo/Year Mo. /Year or degrees and
academic distinctions
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 obtained

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B. Post-qualification training courses / learning activities
Name, place and country Type Attended From/To Certificates or
Mo/Year Mo. /Year Diplomas obtained

C. UN Language Proficiency Exams (if any)

D. UNDP Certification Programmes (if any)

25. List membership of professional societies and activities in civic, public or international affairs

26. List any significant publications you have written (do not attach them) or any special recognition

27. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you
have had. Use a separate block for each employment. 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. Provide gross and indicate denomination salary per annum for your last or present post.

Have you already been issued a UN Index Number? No YesIf yes, please indicate this
number: Are you a current or former UNV? Yes No If yes, please indicate roster
number:
A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT)
FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of
Month/Year Month/Year Starting Final Appointment/Contract:
(gross) (gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER: TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other

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ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. Of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

B. PREVIOUS POSTS (IN REVERSE ORDER - I.E. MOST RECENT POSTS FIRST)
FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of
Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other

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ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

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 Number of Professional Reason
Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Final Appointment/Contract:
(gross
) UN Grade of your post (if applicable):
Last UN step in your post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS
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FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of
Month/Year Month/Year Startin Final Appointment/Contract:
g (gross UN Grade of your post (if
(gross) ) applicable): Last UN step in your
post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED
ACCOMPLISHMENTS

FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of

Month/Year Month/Year Startin Final Appointment/Contract:
g (gross UN Grade of your post (if
(gross) ) applicable): Last UN step in your
post (if applicable):
NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason for leaving:

Staff Supervised:
Number of Support
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED
ACCOMPLISHMENTS

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FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of
Month/Year Month/Year Startin Final Appointment/Contract:
g (gross UN Grade of your post (if
(gross) ) applicable): Last UN step in your
post (if applicable):

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NAME OF EMPLOYER TYPE OF BUSINESS:

EMPLOYMENT TYPE:
Full time:
Part Time: ( %)
Type of contract:

100 200 ALD/300

Series series series
Permane Indefinit Continuing
nt FTA e TA SSA
SC UNV Other
ADDRESS OF EMPLOYER NAME OF SUPERVISOR:
Email Add. and/or Telephone No. of Supervisor:

Number of Professional Reason

Staff Supervised: for
Number of Support leaving:
Staff Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED
ACCOMPLISHMENTS

28. Have you any objections to our making inquiries of: (a) your present Yes ;
employer? No
(b) previous employers? No Yes
29. Are you now, or have you ever been, a permanent civil servant employee in your
government? No Yes If answer is "yes", WHEN?

30. References: list three persons not related to you who are familiar with your character and
qualifications and who may be contacted for a reference. (Please do not repeat names entered as current
or former supervisor)
FULL NAME FULL ADDRESS, including E-MAIL BUSINESS OR OCCUPATION
ADDRESS and TELEPHONE
NUMBER

31. State any other relevant facts in support of your application. Include information regarding any
residence outside the country of your nationality

32. 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

33. Have you ever been imposed disciplinary measures, 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

34. Have you ever been separated from service on the ground of unsatisfactory performance?

No Yes If “Yes” give full particulars of each case in an attached statement

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35. 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 the UNDP Personal History Form may lead to the termination of the 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.

DATE: SIGNATURE:

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Note: 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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