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UNITED NATIONS DEVELOPMENT PROGRAMME

Personal History Form

INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. If you need more space, attach additional pages of the same size.

1. Family name (surname)

2. First names

3. Maiden name, if applicable

4. Date of Birth

day month year

5. Place of birth

6.Nationality at birth

7.List all your current nationality(ies)

8. Gender

Male Female

9. Marital status

Single

Married

Separated

Widow(er)

Divorced

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 condition/situation, which might limit your prospective field of work or your ability to engage in air travel?

No	Yes	If "yes" please describe:
11. Permanent address			12. Present address if different from			13. Office Telephone number
			that indicated in box 11.			Home/Mobile;
						Work;
Telephone No.			Telephone No.			14. Personal and/or professional e-mail
						address:
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

16.Have you taken up legal permanent residence status in any country other than that of your nationality?

No Yes

if “Yes”, which country(ies)?

17.Have you taken any steps towards changing your present nationality?

No Yes

if “Yes”, explain fully:

18.Are any of your family members (spouse/partner, father,/mother, brother/sister, son/daughter) employed in the UN common system, including UNDP? Yes No if answer is "yes”, give the following information:

Name	Relationship	Name of Organization

19.Do you have any other (extended) family members in UNDP? No information:

Yes

if answer is "yes”, give the following

Name

Relationship

P11 - 19/06/09

20. Would you accept employment for less than six months?						21. Have you been interviewed for any UNDP positions in
Yes	No					the last 12 months? If so, for which post(s)?

22. Languages -			Ability to operate in the listed language(s) in a work environment
mother tongue
1st
		Read		Write			Speak	Understand
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
		none		none			none	none
		limited		limited			limited	limited
		working knowledge		working knowledge			working knowledge	working knowledge
		proficient		proficient			proficient	proficient
23. For support General Service level posts only, indicate if you passed the following tests:
ASAT – Administrative Support Assessment Test (formerly known as clerical test): No Yes								if “Yes”, date taken
UN Accounting Assistant Exam : No			Yes	No Yes	if “Yes”, date taken

24. EDUCATION: Give full details - NB Please give exact titles of degrees in original language

A. List all institutions of learning attended since age 14 and diplomas/degrees or equivalent qualifications obtained (highest education first). Give the exact name of institution and title of degrees, diplomas, etc. (Please do not translate or equate to other degrees.)

	Attended From/To		Certificates, diplomas	Main course of study
Name, place and country	Mo/Year	Mo. /Year	or degrees and
			academic distinctions
			obtained







P11 - 19/06/09				2

B. Post-qualification training courses / learning activities

Name, place and country	Type	Attended From/To		Certificates or
		Mo/Year	Mo. /Year	Diplomas obtained

C. UN Language Proficiency Exams (if any)

D. UNDP Certification Programmes (if any)

25. List membership of professional societies and activities in civic, public or international affairs

26. List any significant publications you have written (do not attach them) or any special recognition

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

Have you already been issued a UN Index Number? No				Yes If yes, please indicate this number:
Are you a current or former UNV? Yes No			If yes, please indicate roster number:

A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT)
FROM	TO	SALARIES PER ANNUM			FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year	Starting (gross)	Final		Appointment/Contract:
			(gross)		Appointment/Contract:
			(gross)		UN Grade of your post (if applicable):
					UN Grade of your post (if applicable):
					Last UN step in your post (if applicable):

NAME OF EMPLOYER:					TYPE OF BUSINESS:

					EMPLOYMENT TYPE:
					Full time:
					Part Time: (	%)
					Type of contract:
					100 Series	200 series	ALD/300 series
					Permanent	Indefinite	Continuing
					FTA	TA	SSA
					SC	UNV	Other
P11 - 19/06/09							3

ADDRESS OF EMPLOYER	NAME OF SUPERVISOR:
	Email Add. and/or Telephone No. Of Supervisor:

	Number of Professional Staff	Reason for
	Supervised:	leaving:
	Number of Support Staff
	Supervised:
DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

B.PREVIOUS POSTS (IN REVERSE ORDER - I.E. MOST RECENT POSTS FIRST)

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff			Reason for
				Supervised:			leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
P11 - 19/06/09							4

ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff			Reason for
				Supervised:			leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff			Reason for
				Supervised:			leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

P11 - 19/06/09							5

				Number of Professional Staff				Reason for
				Supervised:				leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series		ALD/300 series
				Permanent		Indefinite		Continuing
				FTA		TA		SSA
				SC		UNV		Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff				Reason for
				Supervised:				leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year		Final	Appointment/Contract:
			(gross)	Appointment/Contract:
			(gross)	UN Grade of your post (if applicable):
				UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):

NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series		ALD/300 series
				Permanent		Indefinite		Continuing
				FTA		TA		SSA
				SC		UNV		Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff				Reason for
				Supervised:				leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS
P11 - 19/06/09							6


FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year	Starting	Final	Appointment/Contract:
		(gross)	(gross)	UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):
NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff			Reason for
				Supervised:			leaving:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year	Starting	Final	Appointment/Contract:
		(gross)	(gross)	UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):
NAME OF EMPLOYER				TYPE OF BUSINESS:

				EMPLOYMENT TYPE:
				Full time:
				Part Time:	(	%)
				Type of contract:
				100 Series		200 series	ALD/300 series
				Permanent		Indefinite	Continuing
				FTA		TA	SSA
				SC		UNV	Other
ADDRESS OF EMPLOYER				NAME OF SUPERVISOR:
				Email Add. and/or Telephone No. of Supervisor:

				Number of Professional Staff			Reason for leaving:
				Supervised:
				Number of Support Staff
				Supervised:
	DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM	TO	SALARIES PER ANNUM		FUNCTIONAL TITLE: As specified in your Letter of
Month/Year	Month/Year	Starting	Final	Appointment/Contract:
		(gross)	(gross)	UN Grade of your post (if applicable):
				Last UN step in your post (if applicable):
P11 - 19/06/09							7

NAME OF EMPLOYER	TYPE OF BUSINESS:

	EMPLOYMENT TYPE:
	Full time:
	Part Time: (	%)
	Type of contract:
	100 Series	200 series	ALD/300 series
	Permanent	Indefinite	Continuing
	FTA	TA	SSA
	SC	UNV	Other
ADDRESS OF EMPLOYER	NAME OF SUPERVISOR:
	Email Add. and/or Telephone No. of Supervisor:

	Number of Professional Staff		Reason for
	Supervised:		leaving:
	Number of Support Staff
	Supervised:

DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

28.	Have you any objections to our making inquiries of: (a) your present employer? No				Yes	;
(b) previous employers? No				Yes

29.	Are you now, or have you ever been, a permanent civil servant employee in your government?
No	Yes		If answer is "yes", WHEN?

30.	References: list three persons not related to you who are familiar with your character and qualifications and who may
be contacted for a reference. (Please do not repeat names entered as current or former supervisor)

	FULL NAME			FULL ADDRESS, including E-MAIL	BUSINESS OR OCCUPATION
				ADDRESS and TELEPHONE NUMBER



31.	State any other relevant facts in support of your application. Include information regarding any residence outside the
country of your nationality
32.	Have you ever been convicted, fined, or imprisoned for the violation of any law (excluding minor traffic violations)?
No	Yes	If “Yes” give full particulars of each case in an attached statement

33.	Have you ever been imposed disciplinary measures, including dismissal or separation from service, on the grounds of
misconduct?
No	Yes	If “Yes” give full particulars of each case in an attached statement

34.	Have you ever been separated from service on the ground of unsatisfactory performance?
No	Yes	If “Yes” give full particulars of each case in an attached statement

35.	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 the UNDP Personal History Form may lead to the termination of the appointment or to dismissal. I understand this also applies to any other information or document requested by the Organization for the purpose of my recruitment to and employment with UNDP.

DATE:	SIGNATURE: _________________________________________
P11 - 19/06/09	8

Note: You may be requested to provide documentary evidence of the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so and, in any event, do not submit the originals of any references, testimonials or certificates of academic achievement unless they have been obtained for the sole use of UNDP.

P11 - 19/06/09

Question	Answer
Form Name	Undp Personal History Form
Form Length	9 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 15 sec
Other names	disabilities, form p11 filling on unch page, dependents, E-mail

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