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Edition 2011-2012

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Edition 2011-2012 Edition 2011-2012

     Edition 2011-2012 UNITED NATIONS INSTRUCTIONS Attach a photograph

    Please answer each question JUNIOR PROFESSIONAL OFFICER

    clearly and completely. ASSOCIATE EXPERTS

    TYPE OR PRINT LEGIBLY. ASSOCIATE PROFESSIONAL OFFICER

    Read carefully and follow all Sponsored by the Italian Government

    directions.

    APPLICATION FORM 1. Family name First name Middle name Maiden Name, if any

    2. Date of birth 3. Place of birth 4. Nationality(ies) of birth 5. Present Nationality(ies) 6. Sex (day/month/year)

     7. Height 8. Weight 9. Marital Status:

     Single Married Separated Widow(er) Divorced

    10. Permanent address 11. Present address 12. Office Telephone No.

     13. Mobile No. if applicable Telephone No. Telephone No. 14. E-mail: 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 (day/month/year) (day/month/year)

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

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

18. What is your preferred field of work?

19. Knowledge of languages. What is your mother tongue?

    OTHER READ WRITE SPEAK UNDERSTAND LANGUAGES Excellent Good Slight Excellent Good Slight Excellent Good Slight Excellent Good Slight

    20. EDUCATION Give full details N.B. Please give exact titles of degrees in original language. Please do not translate or equate to other degrees.

     A. University or equivalent

     NAME, PLACE AND ATTENDED FROM/TO DEGREES and ACADEMIC MAIN COURSE OF STUDY DISTINCTIONS OBTAINED COUNTRY Month/Year Month/Year

    B. Schools or other formal training or education from age 14 (e.g., high school, technical school or apprenticeship)

     NAME, PLACE AND CERTIFICATES OR DIPLOMAS TYPE YEARS ATTENDED COUNTRY OBTAINED Month/Year Month/Year

     21. Describe briefly your university activities, including seminars, special courses and final dissertation.

    Please attach a university certificate (with the list of examinations and degree obtained) 22. Fellowships held (place, date, duration, by whom awarded)

23. List any significant publications you have written (Do not attach)

    24. Indicate any computer languages in which you are proficient as well as word-processing systems and computer software you have used

25. 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. A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT) FROM (month/year) TO (month/year) EXACT TITLE OF YOUR POST:

    NAME OF EMPLOYER: TYPE OF BUSINESS DUTY STATION

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR

    DESCRIPTION OF YOUR DUTIES

B. PREVIOUS POSTS (IN REVERSE ORDER)

    FROM (month/year) TO (month/year) EXACT TITLE OF YOUR POST:

    NAME OF EMPLOYER: TYPE OF BUSINESS: DUTY STATION

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:

    DESCRIPTION OF YOUR DUTIES

FROM (month/year) TO (month/year) EXACT TITLE OF YOUR POST:

NAME OF EMPLOYER: TYPE OF BUSINESS:

    ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: DUTY STATION

    DESCRIPTION OF YOUR DUTIES

26. State any other relevant facts. Include information regarding any residence outside the country of your nationality.

27. Have you served in the military forces?

     28. Have you ever been convicted of any criminal offence or is there any criminal proceeding pending against you?

29 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.

    DATE: SIGNATURE:____________________________________________________________

AUTORIZZO IL TRATTAMENTO DEI DATI CONTENUTI NEL PRESENTE FORMULARIO AI SENSI DELLA LEGGE N?196/2003

     DATA: FIRMA:_________________________________________________________________

     HOW HAVE YOU LEARNED ABOUT THIS PROGRAMME?:

     University: Press: Radio: Internet: Other:

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