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Personnel Job Submission Form

Ref: Project Appointment Secretarial Assistant (GS-5)

Before filling-in the form, please note:

Fields marked with * are compulsory.
All telephone numbers should include the country code (e.g. +39 for Italy)
Please avoiding using all capital letters
Once completed, please press Submit at the bottom of the page.

1. Personal information

Title* (eg. Mr/Ms/Dr/Prof)

Name* (eg. John)

Surname* (Family Name - eg. Smith)

Maiden Name

Sex*

Marital Status

Present Nationality*

Second Nationality (if any)

Date of birth*

Day:
Month:
Year:

Nationality at birth:

Country and place of birth:

E-mail address(es):*

Have you taken any legal steps towards changing your present nationality?

Mailing Address*

ZIP*

City*

Country*

Phone*
Mobile/Cellular
Fax

Permanent Address*

ZIP*

City*

Country*

Phone*

2. Give the following information about persons fully dependent upon you for financial support.

Name of dependant	Date of birth	Relationship

3. List any of your relatives employed by the United Nations or its specialized Agencies.

Name	Relationship	Name of International Organization

4. Would you accept employment for:

	Yes	No
Up to 6 months
6 months to 1 year
more than 1 year

5. Would you object to serving in any region of the world? If so, indicate which and why.

6. How much notice would you require to report for work? *

7. If employed, you will be required to pass a medical examination. Have you any disabilities which might limit your prospective field of work or preclude you undertaking any necessary travel by air?

8. The post you wish to apply to:

Post: Where did you see the advertisement?*

9. List in chronological order the educational institutes you have attended from the age of 14, including service training sessions, having lead to the granting of a diploma.

Name of school, place and country

Major and specialization

Year of beginning

Year of graduation

10. University Studies or equivalent:

Name of University

Year of beginning

Year of Ending

Degrees and specialisation

11. List professional societies to which you belong and your activities in public or international affairs.

12. List significant publications, including publisher and date of publication:

13. Foreign language skills:

Mother Tongue:

	English	Italian	Other language 1	Other language 2	Other language 3
Writing
Speech
Reading
Understanding

14. Clerical skills: indicate speed in words per minute, after verification on non-commercial texts.

	English	Other language
Shorthand
Typing

15. Office automation: list any information equipment and software you can use.

16. Record of employment: starting with your present position, list in reverse order every employment during at least the past ten years.

Position / Title

From - Till

Yearly income (EURO)

Name and full address of the company

Description of your duties (main tasks), include number and type of subordinates and if part-time

Reason for changing

17. If applicable, give here a brief resumee of employment(s) held before those covered above:

18. Please indicate three referees not related to you by blood or marriage, who are familiar with your character and qualifications:

Referee

Full address

Name:
Profession:
e-mail:
Phone:

Name:
Profession:
e-mail:
Phone:

Name:
Profession:
e-mail:
Phone:

19. Have you any objection to our making enquiries with your present employer? *

20. State briefly any other relevant facts. Include information regarding any residence outside the country of which you are a citizen:

21. Reasons and specific motivations for applying:

22. I certify that my statements above are true and complete. I understand that intentional incorrect information renders me liable to dismissal, if employed.

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