International Fund for Agricultural Development IFAD, Via Paolo di Dono, 44 - 00142 Rome, Italy – Telephone: +39 06 54591, Fax: +39 06 5043463, E-mail: [email protected]

Personal History Form Please read carefully and fill in each section clearly and completely Attach recent photograph

Indicate post title and vacancy announcement number.

Preferred field of work

You are interested in: indefinite employment employment under one year employment for 1-3 years consultancy

internship

Personal information Family/Surname: First name: Middle name: Maiden name (if any): (A) Address at which you reside at present (indicate since when)

(B) Permanent residence (if different from A)

Telephone number (Home): Telephone number (Work): Telephone number (Mobile): Fax number: E-Mail address: E-Mail address (alternative): Date of birth: (dd/mm/yyyy) Place/Country of birth: Current nationality(ies): Previous nationality (ies), if any: Is your nationality in the process of being changed? If so, explain. Are you in the process of acquiring a new nationality? If so which one?

Sex:

Male

Marital status:

Female

Single

Married

Divorced

Widow(er)

Separated

Domestic partnership

Dependents: Name

Date of birth (dd/mm/yyyy)

Relationship

Have you any family members/relatives* working in IFAD? Yes

No

If yes, give name, relationship

*

Includes spouse, domestic partnership, son, daughter, mother, father, grandfather, grandmother, grandson, granddaughter, aunt, uncle, cousin, niece, nephew, step-father, step-mother, step-son, step-daughter, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law

PERS 28/1 (Rev March 2011)

Have you any family members/relatives working in another organization of the United Nations system? Yes

No

If yes, give name, relationship and organization.

Languages and skills Proficiency level

Excellent

Good

Fair

Slight

Mother-tongue: Language 1: Language 2: Language 3: Language 4: Computer literacy: This part is only for General Service positions Language 1 proficiency (UN level C): Language 2 proficiency (UN level C): Keyboard speed in words per minute: Rome-based UN skills check test: Other office skills:

Education and qualifications Give details starting from most recent to the secondary education. Include short courses and postgraduate studies in your professional/occupation and related fields. Include recognized charters and certifications. From (mm/yyyy)

To (mm/yyyy)

Name of school/college/university or equivalent, city/country

Nature of course/studies/ specialization

Certificate/Diploma/ Degree obtained

Employment record List in reverse chronological order positions held (starting with the most recent). Attach any additional pages if needed. Employment 1 (Current or most recent) Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any): Period

from:

to:

Total annual professional income (after tax) starting:

Most recent:

Give details of substantial allowances or fringe benefits (if any):

2

Description of your duties and responsibilities:

Reason for changing employment:

Employment 2 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any): Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Employment 3 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any): Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Employment 4 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any):

3

Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Employment 5 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any): Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Employment 6 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any): Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Employment 7 Name and address of employer: Exact title of your post (for UN staff include grade/step): Name and title of supervisor: Number and type of employees supervised by you, (if any):

4

Period

from:

to:

Description of your duties and responsibilities:

Reason for changing employment:

Personal Summary 1.

Your motivation in applying to IFAD and to the specific position:

2.

Most significant professional milestones, achievements and contributions:

3.

Mid- to long-term professional aspirations:

4.

Professional associations/societies to which you belong:

5.

Published articles, pamphlets or books of which you are the author (or co-author):

6.

Additional skills or areas of knowledge:

5

7.

Interests outside your job:

8.

Any circumstances, disabilities, health problems or reservations which may restrict your transferability, mobility or travel:

1.

Have you ever been found guilty of the violation of any law (other than minor traffic violations)?

Other required information Yes

No

If yes, please indicate the charge, date, place of trial, and decision/judgement.

2.

May we seek references from your present/most recent employer and your former employers and supervisors? If not, specify exclusions. You may also add more references here, including name, occupation, relationship to you, address, telephone and fax numbers

3.

What or who was your source of introduction to IFAD?

4.

What are your remuneration expectations?

5.

When are you available to take up a new appointment?

6.

Other organizations of the United Nations system may be interested in our applicants. Do you have any objections to your Personal History Form being made available to them? Yes

7.

No

Any additional information

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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 false statements or factual omissions from this form may be held against my candidature and/or may provide grounds for disciplinary measures.

Date

Signature

Your Personal History Form may be kept in our records up to a maximum of 12 months.

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