Unicef p11

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Transcript of Unicef p11

Page 1: Unicef p11

P.11 (2-74) - E

INSTRUCTIONS

Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions.

UNITED NATIONS

PERSONAL HISTORY

Do Not Write in This Space

1. Family nameBEZDROB

First nameANNÉ MARIÈ

Middle name N/A

Maiden name, if anyFORMERLY DU PREEZ, néé OOSTHUIZEN

2. Dateof

Birth

Day9

Mo.5

Yr.51

3. Place of birthGERMISTON

4. Nationality (ies) at birthSOUTH AFRICA

5. Present nationality (ies)SOUTH AFRICAN

6. SexF

7. Height5’5”

8. Weight84kg

9. Marital status: Single Married Separated Widow(er) Divorced X

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? YES NO X If “yes”, please describe.

11. Permanent address 12. Present address (if different) 13. Office Telephone No. 011 782 7895

2, CALIERO, 101 SIXTH ST, LINDEN, JOHANNESBURG 2195

----- Office Fax. No E-mail: [email protected]

Telephone No. 082 228 5134 Telephone/Fax No.

15. Have you any dependents?YES NO X 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? If answer is “yes”, which country?

YES NOX

17. Have you taken any legal steps towards changing your present nationality? If answer is “yes”, explain fully:

YES NOX

18. Are any of your relatives employed by a public international organization? If answer is “yes”, give the following information:

YES X NO

NAME Relationship Name of International Organization

19. What is your preferred field of work? WRITING, POLITICAL, HUMANITARIAN

20. Would you accept employment for less 21. Have you previously submitted an application for employment with U.N.?

than six months YESX NO if so when? Worked for UN 1989/1990/1993 as per Résumé

22. KNOWLEDGE OF LANGUAGES. What is your mother tongue? ENGLISH/AFRIKAANS

READ WRITE SPEAK UNDERSTANDNot Not Not Not

OTHER LANGUAGES Easily Easily Easily Easily Easily Easily Easily EasilyDUTCH X X X XGERMAN X X X X

23. For clerical grades only Indicate speed in words per minute

List any office machines or equipment you can use

O t h e r l a n g u a g e sE n g l i s h F r e n c h

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TypingShorthand24. EDUCATIONAL. Give full details - N.B. Please give exact titles of degrees in original language.A. UNIVERSITY OR EQUIVALENT Please do not translate or equate to other degrees.

NAME, PLACE AND COUNTRYATTENDED FROM/TO DEGREES and ACADEMIC

MAIN COURSE OF STUDYMo./Year Mo./Year DISTINCTIONS OBTAINED

B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship)

NAME, PLACE AND COUNTRY TYPEATTEND FROM/TO CERTIFICATES OR

Mo./Year Mo./Year DIPLOMAS OBTAINEDKENSINGTON HIGH SCHOOL,

KENSINGTON, JOHANNESBURG, SOUTH AFRICA

HIGH SCHOOL 1964 1968 Completed Matric

25. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRSNot currently

26. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (do not attach)

BOOKS: WINNIE MANDELA – A LIFE (Biography); THE NELSON MANDELA STORY (Biography); SARAJEVO ROSES – WAR MEMOIR OF A PEACEKEEPER (Memoir);

SHORT STORIES IN VARIOUS ANTHOLOGIESAWARD-WINNING JOURNALISM

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

A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT)FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

2001 2010 R300,000.00+ AUTHOR, TEACHER/PRESENTER

NAME OF EMPLOYER: SELF TYPE OF BUSINESS: WRITING/TEACHING

ADDRESS OF EMPLOYER: AS ABOVE NAME OF SUPERVISOR: N/A

NO. AND KIND OF EMPLOYEES REASON FOR LEAVING:SUPERVISED BY YOU:

DESCRIPTION OF YOUR DUTIESResearch for books and articles, writing, teaching of Creative Writing course.

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B. PREVIOUS POSTS (IN REVERSE ORDER)FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

1998 2001 R120,000.00 Anchor/presenter, radio news and actuality program

NAME OF EMPLOYER: SABC TYPE OF BUSINESS: BROADCASTING

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: Chris Louw (deceased)

HENLEY ROAD, AUCKLAND PARK, JOHANNESBURGNO. AND KIND OF EMPLOYEES REASON FOR LEAVING:SUPERVISED BY YOU: - Commission for writing

DESCRIPTION OF YOUR DUTIESPrepared and presented material for daily radio news and actuality program

FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

1993 1995 R240,000.00SPECIALIST CONSULTANT

NAME OF EMPLOYER: TYPE OF BUSINESS:

UNITED NATIONSADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

UNPROFOR MISSION, BOSNIA Sergio Vieira de Mello (deceased); Viktor AndreevNO. AND KIND OF EMPLOYEES REASON FOR LEAVING

SUPERVISED BY YOU: 6 Left missionDESCRIPTION OF YOUR DUTIES

- Established, produced and presented an UNPROFOR radio information program consisting of daily radio broadcasts throughout Bosnia;- Assisted in developing and co-ordinating a general UNPROFOR public information strategy for the Mission;- Headed UNPROFOR Political and Humanitarian affairs office for Bosnia. This involved, inter alia, high-level political negotiations with the Bosnian Government, Bosnian Serbs and other parties on political and humanitarian issues e.g. Prisoner of War exchanges and providing assistance to the civilian population.

FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:INFORMATION OFFICER

MONTH/YEAR MONTH/YEAR STARTING FINAL

1990 1991 US $ 18,000.00

NAME OF EMPLOYER: TYPE OF BUSINESS:

UNITED NATIONSADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

UN SECRETARIAT, NEW YORK George ParkerNO. AND KIND OF EMPLOYEES REASON FOR LEAVINGSUPERVISED BY YOU: -

DESCRIPTION OF YOUR DUTIES- Reported on the activities of Specialist Committees of the UN General Assembly;- Compiled information and wrote communiqués for distribution to the UN Secretary General, senior UN personnel, Embassies and the International Media;- Participated in writing of information material for 1992 UN Conference on Environment and Development in Rio de Janeiro.

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FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

1989 1990 R60,000.00 SPECIALIST CONSULTANT

NAME OF EMPLOYER: TYPE OF BUSINESS:

UNITED NATIONS

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:Cedric Thornberry

UNTAG MISSION, NAMIBIA NO. AND KIND OF EMPLOYEES REASON FOR LEAVINGSUPERVISED BY YOU: 1 END OF CONTRACT

DESCRIPTION OF YOUR DUTIES- Produced and presented a daily UNTAG radio information program; - Presented and co-produced a weekly UNTAG television program;- Member of the UNTAG Impartiality Working Group: negotiator with the South West Africa Broadcasting Corporation (SWABC) on the role of the electronic media during transition and after Independence;- Advisor to the UN Special Representative on political trends in the country.

28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF ANY YOUR PRESENTYOUR PRESENT EMPLOYER? YES NOX ANNE MARIE DU PREEZ UNTIL 1995, THEREAFTER ANNE MARIE BEZDROB

29. ARE YOU NOW, OR HAVE TO EVER BEEN, A PERMANENT CIVIL SERVANT IN YOUR GOVERNMENT’S EMPLOY? YES NOX If answer is “yes”, WHEN?

30. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications.Do not repeat names of supervisors listed under item 27.

FULL NAME FULL ADDRESS BUSINESS OR OCCUPATIONMs Julie Thompson New York. Email: [email protected] Retired UN OfficerMs Wilna Matthee SABC Johannesburg. Email: [email protected] Senior ProducerMr Martti Ahtisaari Finland: [email protected] Former UN Colleague31. STATE ANY OTHER RELEVANT FACTS, INCLUDING INFORMATION REGARDING ANY RESIDENCE OUTSIDE THE COUNTRY OF YOUR NATIONALITY

32..

HAVE YOUR EVER BEEN ARRESTED, INDICTED, OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVICTED, FINED OR IMPRISONED FOR THE VIOLATION OF ANY LAW (excluding minor traffic violations)? YES NOX If “yes”, give full particulars of each case in an attached statement.

33. 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 a Personal History form or other document requested by the Organization renders a staff member of the United Nations liable to termination or dismissal.

DATE: 1 November 2010 SIGNATURE : AM BEZDROB

N.B. You will be requested to supply documentary evidence which supports the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so by the Organization and, in any event, do not submit the original texts of references or testimonials unless they have been obtained for the sole use of the Organization.