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INSTRUCTIONS

Please answer each question

clearly and completely. Type

or print in ink.Read carefully

and follow all directions.

UNITED NATIONS

Do not rite in this Space

PERSONAL HISTORY

!. "amily name "irst name Other names #aiden name

$. Date of %irth &. Place of %irth '. Nationality at %irth (. Present nationality ). Se*

+. ,ei-ht . ei-ht /. #arital status

Sin-le 0 1 #arried 0 1 Separated 0 1 idow2er3 0 1 Di4orced 0 1

!5. 6ntry into United Nations ser4ice mi-ht entail assi-nment and tra4el to any area of the world in which the UnitedNations mi-ht ha4e responsi%ilities. ,a4e you any disa%ilities which mi-ht limit your prospecti4e field of wor7 or you

a%ility to en-a-e in air tra4el8

96S 0 1 NO 0 1 If :yes:; please descri%e.

!!. Permanent address !$. Present address !&. Permanent telephone no

!'. Present telephone no

!(. ,a4e you any dependants8

96S 0 1 NO 0 1 If the answer is :yes:; -i4e the followin- informationation

!/. hat is your preferred field of wor7 8 Research on economic and social issues; monitorin- and e4aluation; planiin-;

statistics and data analysis; social and human de4elopment; human ri-hts.

$5. ould you accept employment for less

than si* months 8 96S 0 1 NO 0 1

$!. ,a4e you pre4iously su%mitted an application for employment with U.N.

8If so; when 8

$$. ?NO@6DA6 O" @=NAU=A6S. hat is your mother ton-ue 8 Spanish

R6=D RIT6 SP6=? UND6RST=ND

OT,6R

@=NAU=A6S

6asily Not easily 6asily Not easily "luently Not

fluently

6asily Not

easily

$&. "or clerical -rades only Indicate speed in words per minute

List any office machines or equipment you can use

Other lan-ua-es6n-lish "rench

Typing

Shorthand

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24. EDUCATION. i!" #$%% d"tai%& 'N.B. Please give exact name of institution and titles of degrees in original language.

Please do not translate or equate to other degrees. A. Uni!"r&ity or "($i!a%"nt

Y"ar& att"nd"d

Na)" * p%a+" and +o$ntry #ro) to D"gr""& and a+ad")i+

di&tin+tion&

,ain +o$r&" o# &t$dy

B. Schools or other formal trainin- or education from a-e !' 2e.-. hi-h school; technical school or apprenticeship39ears attended

Name; place and country Type from To Certificates or diplomas

o%tained

2-. Li&t pro#"&&iona% &o+i"ti"& and a+ti!iti"& in +i!i+* p$%i+ or int"rnationa% a##air&

$). @ist any si-nificant pu%lications you ha4e written (Do not attach)

$+. 6#P@O9#6NT R6CORD< Startin- with your present post; list in reverse order e4ery employment you ha4e had. Use

a separate %loc7 for each post. Include also ser4ice 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 si>e.

/ro) To Sa%ari"& p"r ann$) Exa+t tit%" o# yo$r po&t 0 ,onitoring and

E!a%$ation O##i+"r

#onth9ear #onth9ear Startin- "inal

Na)" o# ")p%oy"r 0 Type of %usiness