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First go at the new Job Submission Form

1. Personal Information

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

Name * (eg. John) (Required)

Surname (Family Name - eg. Smith)* (Required)

Maiden Name

Sex* (Required)

Date of Birth* (Required)

/ /

Marital Status

E-Mail address 1

E-Mail address 2

Country and place of birth

Present Nationality* (Required)

Second Nationality (if any)

Nationality at birth

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

Mailing Address* (Required)

City* (Required)

ZIP* (Required)

Country* (Required)

Phone* (Required)

Mobile/Cellular

Fax

Permanent Address* (Required)

Phone* (Required)

City* (Required)

ZIP* (Required)

Country* (Required)

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

2.1 Name of dependant:

2.1 Date of birth of dependent:

/ /

2.1 Relationship with dependent:

2.2 Name of dependant:

2.2 Date of birth of dependent:

/ /

2.2 Relationship with dependent:

2.3 Name of dependant:

2.3 Date of birth of dependent:

/ /

2.3 Relationship with dependent:

2.4 Name of dependant:

2.4 Date of birth of dependent:

/ /

2.4 Relationship with dependent:

2.5 Name of dependant:

2.5 Date of birth of dependent:

/ /

2.5 Relationship with dependent:

2.6 Name of dependant:

2.6 Date of birth of dependent:

/ /

2.6 Relationship with dependent:

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

3.1 Name:

3.1 Relationship:

3.1 Name of international organisation:

3.2 Name:

3.2 Relationship:

3.2 Name of international organisation:

4. Would you accept employment for:

Terms

Up to 6 months

Between 6 months and 1 year

More than 1 year

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

Objections:

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

Notice*: (Required)

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?

Medical notes:

8. The post you wish to apply to is:

Post:

Where did you see the advertisement? * (Required)

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.

9.1

9.1.1 Name of school, place and country:

9.1.2 Major and specialisation:

9.1.3 Year of beginning:

9.1.4 Year of graduation:

9.2

9.2.1 Name of school, place and country:

9.2.2 Major and specialisation:

9.2.3 Year of beginning:

9.2.4 Year of graduation:

9.3

9.3.1 Name of school, place and country:

9.3.2 Major and specialisation:

9.3.3 Year of beginning:

9.3.4 Year of graduation:

10. University Studies or equivalent:

10.1

10.1.1 Name of University:

10.1.2 Degrees and specialisation:

10.1.3 Year of beginning:

10.1.4 Year of graduation:

10.2

10.2.1 Name of University:

10.2.2 Degrees and specialisation:

10.2.3 Year of beginning:

10.2.4 Year of graduation:

10.3

10.3.1 Name of University:

10.3.2 Degrees and specialisation:

10.3.3 Year of beginning:

10.3.4 Year of graduation:

10.4

10.4.1 Name of University:

10.4.2 Degrees and specialisation:

10.4.3 Year of beginning:

10.4.4 Year of graduation:

10.5

10.5.1 Name of University:

10.5.2 Degrees and specialisation:

10.5.3 Year of beginning:

10.5.4 Year of graduation:

10.6

10.6.1 Name of University:

10.6.2 Degrees and specialisation:

10.6.3 Year of beginning:

10.6.4 Year of graduation:

10.7

10.7.1 Name of University:

10.7.2 Degrees and specialisation:

10.7.3 Year of beginning:

10.7.4 Year of graduation:

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

Societies and activities:

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

Publications:

13. Foreign language skills:

13.0 Mother tongue:

13.1 English

13.1.1 Writing:

13.1.2 Speech:

13.1.3 Reading:

13.1.4 Understanding:

13.2 Italian

13.2.1 Writing:

13.2.2 Speech:

13.2.3 Reading:

13.2.4 Understanding:

13.3 Other Language 1

13.3.1 Writing:

13.3.2 Speech:

13.3.3 Reading:

13.3.4 Understanding:

13.4 Other Language 2

13.4.1 Writing:

13.4.2 Speech:

13.4.3 Reading:

13.4.4 Understanding:

13.5 Other Language 3

13.5.1 Writing:

13.5.2 Speech:

13.5.3 Reading:

13.5.4 Understanding:

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

14.1 English

14.1.1 Shorthand:

14.1.2 Typing:

14.2 Other language

14.2.1 Shorthand:

14.2.2 Typing:

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

Equipment/software:

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

16.1

16.1.1 From / till:

16.1.2 Name and full address of the company:

16.1.3 Position/title:

16.1.4 Yearly Income (EURO):

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

16.1.6 Reason for changing:

16.2

16.2.1 From / till:

16.2.2 Name and full address of the company:

16.2.3 Position/title:

16.2.4 Yearly Income (EURO):

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

16.2.6 Reason for changing:

16.3

16.3.1 From / till:

16.3.2 Name and full address of the company:

16.3.3 Position/title:

16.3.4 Yearly Income (EURO):

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

16.3.6 Reason for changing:

16.4

16.4.1 From / till:

16.4.2 Name and full address of the company:

16.4.3 Position/title:

16.4.4 Yearly Income (EURO):

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

16.4.6 Reason for changing:

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

Earlier employment:

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

18.1

18.1.1 Name of referee:

18.1.2 Full address:

18.1.3 E-mail:

18.1.4 Phone:

18.1.5 Profession:

18.2

18.2.1 Name of referee:

18.2.2 Full address:

18.2.3 E-mail:

18.2.4 Phone:

18.2.5 Profession:

18.3

18.3.1 Name of referee:

18.3.2 Full address:

18.3.3 E-mail:

18.3.4 Phone:

18.3.5 Profession:

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

Objections: (Required)

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

Other relevant facts:

21. Reasons and specific motivations for applying:

Please elaborate:

22. Confirm

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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