United nations development programme



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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

day month year

                 


5. Place of birth
     

6. Nationality at birth

     


7. List all your current nationality(ies)

     


8. Gender
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 has responsibilities. Do you have/experience any condition/situation 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 from that indicated in box 11

     


13. Telephone numbers

Home/Mobile;      

Work;      


Telephone No.      

Telephone No.      

14. Personal and/or professional e-mail 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 status in any country other than that of your nationality?

No  Yes 

If “Yes”, which country(ies)?      


17. Have you taken any steps towards changing your present nationality?

No  Yes 



If “Yes”, explain fully:      


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 "Yes”, give the following information:

Name

Relationship

Name of Organization & Duty Station

     

     

     

     

     

     

     

     

     

19. Do you have any other (extended) family members employed by UNDP? No  Yes  If "Yes”, give the following information:

Name

Relationship

Name of Unit & Duty Station

     

     

     

     

     

     

20. Would you accept employment for less than six months? Yes  No 


21. Have you been interviewed for any UNDP positions in the last 12 months? If so, for which post(s)?      

22. Languages – indicate mother tongue 1st

Ability to operate in the listed language(s) in a work environment




Read

Write

Speak

Understand

     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



     

 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



 none

 limited

 working knowledge

 proficient



23. For General Service support level posts only, indicate if you have passed the following tests:
UN/ASAT – Administrative Support Assessment Test (formerly known as clerical test):

No Yes  if “Yes”, date taken:      


UNDP/AFT – UNDP Accountancy and Finance Test: No  Yes  if “Yes”, date taken:      




24. EDUCATION: Give full details - NB Please give exact titles of degrees in original language
Degrees claimed in the job application (even if they are not a requirement for the post) must be completed at the time of the application.
UNDP only recognizes degrees and diplomas from educational institutions that have been recognized or otherwise approved by competent authorities at the time that they were obtained. Degrees requiring little or no actual course work, degrees awarded for payment of fees only, and degrees granting substantial credits for “lifetime achievements” or “life/work experience” will normally not be recognized. Incomplete degrees are unacceptable to UNDP, regardless of whether they are associated with a recognized higher educational institution.
A. List all educational institutions attended, including secondary school, and diplomas/degrees or equivalent qualifications obtained (highest level education first). Give the exact name of the institution and the title of degrees, diplomas, etc. (Please do not translate or indicate equivalent degrees).



Name, place and country

Attended from/to

Mo/Year Mo. /Year

Degrees / Diplomas obtained

Main course of study

In person or

online/remote?

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

B. Post-qualification training courses / learning activities



Name, place and country


Type

Attended from/to

Mo/Year Mo. /Year

Certificates or Diplomas obtained

In person or

online/remote?

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

     


     

     

     

     

     

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 recognitions you have received


     


     


     


     


27. Have you already been issued a UN Index Number? No  Yes  If “Yes”, please indicate this number:      


28. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you have had. Use a separate block for each employment. Include 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 salary per annum and indicate currency for your last or present post.
Are you a current or former UNV? Yes  No  If ”Yes”, please indicate roster number:      


  1. PRESENT POST (Last post, if not presently employed)

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     


Starting (gross)

     


Final (gross)

     


NAME OF EMPLOYER:

     


TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     



NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Do/did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      



Reason for leaving:      

  1. PREVIOUS POSTS (In reverse order i.e. most recent post first)

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER

     




TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     


NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:      




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER

     



TYPE OF BUSINESS:      


EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     




NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:      




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER



TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     



NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:      




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER

     




TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     


NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:      




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER

     



TYPE OF BUSINESS:      


EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other     


ADDRESS OF EMPLOYER

     




NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     





Final (gross)

     


NAME OF EMPLOYER



TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other      


ADDRESS OF EMPLOYER

     



NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     


Starting (gross)

     


Final (gross)

     


NAME OF EMPLOYER

     




TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other     


ADDRESS OF EMPLOYER

     


NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     


Starting (gross)

     


Final (gross)

     


NAME OF EMPLOYER

     



TYPE OF BUSINESS:      


EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other     


ADDRESS OF EMPLOYER

     




NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

FROM

TO

SALARIES PER ANNUM

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract:      

UN Grade of your post (if applicable):      

(do not indicate equivalency)

Last UN step in your post (if applicable):      



Month/Year

     


Month/Year

     


Starting (gross)

     


Final (gross)

     


NAME OF EMPLOYER



TYPE OF BUSINESS:      

EMPLOYMENT TYPE:

Full time: 

Part Time:  (     %)


Type of contract:
 100 Series

 Permanent

 FTA

 SC


 200 series

 Indefinite

 TA


 UNV

 ALD/300 series

 Continuing

 SSA / IC

 Other     


ADDRESS OF EMPLOYER

     



NAME OF SUPERVISOR:      

E-mail Address and Telephone No. of Supervisor:     




Did you supervise staff? If so:

Number of professional staff supervised:      

Number of support staff supervised:      


Description of your duties and related accomplishments:      

Reason for leaving:     

29. Have you any objections to our making inquiries of:

(a) your present employer? No  Yes 

(b) your previous employers? No  Yes 


30. Are you now, or have you ever been, a national civil servant in your government?

No  Yes 


If "Yes", Indicate dates of service:       Functions:       Country:      


31. References: list three persons not related to you who are familiar with your character and qualifications and who may be contacted for a reference
UNDP will not seek a reference from your current employer without obtaining prior consent. However, please note that UNDP may seek references from your former employers.

Full Name

Full Address, including E-Mail Address and Telephone Number

Name of Organization,

Business or Occupation




     


     

     

     


     

     

     


     

     

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


33. 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





34. Have you ever had disciplinary measures imposed on you, 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.





35. Have you ever been separated from service on the grounds of unsatisfactory performance?
No  Yes  If “Yes”, give full particulars of each case in an attached statement.



36. I certify that the information I have provided in the present document is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or material omission made in this document may lead to the termination of my 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.
In connection with this application, I authorize former employers and educational institutions to release information about my background to UNDP or its agent. My signature below releases the aforesaid parties providing information about me from any liability whatsoever in collecting and disseminating the information obtained.
DATE:       SIGNATURE: _________________________________________



Note:
Applications for employment at UNDP must include a completed and signed Personal History form (P.11). By submitting a Personal History form, the applicant authorizes UNDP or its agent to verify and validate all information provided in the P.11. The P.11 form is not valid without signature. The signed P.11 form serves to release any party cited in the form from any liability whatsoever for releasing information to UNDP or its agent.
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.
If Degrees/Certificates are in foreign language, you may be required to provide official English translation at time of request.





P11 - 19/08/11





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