World Trade Organization Personal History (Page 4 of 4) in pdf

From

Salary per annum

Exact title of your post:

Month/Year

Starting

Final

Name of employer:

Type of activity:

Address and telephone of employer:

Name of supervisor:

Number and kind of employees

Reason for leaving:

supervised by you:

DESCRIPTION OF YOUR DUTIES

25. Have you any objections to our making inquiries of your present employer?

Yes

26. Have you any objections to our sharing this form with other international organizations?

Yes

27. Are you now, or have you ever been, a permanent civil servant in your government's employ?

Yes

If "yes", when?

28. 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 24.

FULL NAME

FULL ADDRESS

OCCUPATION

29. State any other relevant facts, including membership in professional societies.

Include information regarding any residence outside the

country of your nationality.

30. Appointment is subject to a satisfactory medical examination and might entail travel to any area of the world. Have you any disabilities which might

limit your work or your ability to engage in air travel?

Yes

Explain:

31. Have you ever been arrested, indicted, or summoned into a court as a defendant in a criminal proceeding, or convicted, fined or imprisoned for the

violation of any law (excluding minor traffic violations)?

Yes

If "yes", give full particulars of each case in an attached statement.

32. 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 misrepresentations or material omission made on a Personal History form or other document requested by WTO renders a

staff member of WTO liable to dismissal.

Date: _______________________________

Signature: _________________________________________________

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.