Unov P11 Form - United Nations Personal History

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INSTRUCTIONS
Do not Write in this Space
Please answer each question
UNITED
NATIONS
clearly and completely. Type or
print legibly in ink. Read carefully
and follow all directions.
PERSONAL HISTORY
1. Family name
First name
Other names
Maiden name, if any
2. Date of birth (dd/mm/yyyy)
3. Place of birth
4. Nationality(ies) at birth
5. Present Nationality(ies)
6. Sex
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7. Height
8. Weight
9. Marital Status: Single
Married
Separated
Widow(er)
Divorced
10. Entry into United Nations services might require assignment and travel to any area of the world in which the United Nations might have
responsibilities. Have you any disabilities that might limit your prospective field of work or your ability to engage in air travel?
!
!
YES
NO
If "yes", please describe.
11. Permanent Address
12. Present Address
13. Office Telephone No.
(
)
14. Office Fax No.
(
)
(
)
(
)
Telephone No.
Telephone/Fax No.
Email address:
Email address:
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!
15. Have you any dependants?
YES
NO
If the answer is “yes”, give the following information:
NAME
Date of Birth (dd/mm/yyyy)
Place of Birth
Nationality
Gender
15.(a) Name of Spouse:
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!
16. Have you taken up legal permanent residence status in any country other than that of your nationality?
YES
NO
If answer is "yes", which country?
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!
17. Have you taken any legal steps towards changing your present nationality?
YES
NO
If answer is "yes", explain fully :
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!
18. Are any of your relatives employed by a public international organisation?
YES
NO
If the answer is "yes", give the following information :
NAME
Relationship
Name of international organisation
19. What is your preferred field of work?
20. Would you accept employment for less than six months ?
21. Have you previously submitted an application for employment and/or undergone
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!
!
!
any tests with U.N.?
If so, when ?
YES
NO
YES
NO
22. KNOWLEDGE OF LANGUAGES. What is your mother tongue?
OTHER LANGUAGES
READ
WRITE
SPEAK
UNDERSTAND
Easily
Not Easily
Easily
Not Easily
Fluently
Not Fluently
Easily
Not Easily
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Unless otherwise specified please return completed form to Office of Human Resources Management, United Nations Office at Vienna
P.O. Box 500, A-1400 Vienna, Austria

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