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UNITED NATIONS

Employment and Academic Certification


Attachment to Personal History Profile (P11)

For guidance on the submission package you may refer to the briefing material
How to prepare the submission.
A.

TO BE COMPLETED BY CANDIDATE (from sections 1 to 11):

PERSONAL DATA:
Family Name:
1.

Given name:

Middle names:

Gender: M/F

e-mail address:
POSITION/S TO WHICH YOU ARE APPLYING:
Title:
Job Opening Number:
1.
2.
3.

2.

MILITARY SERVICE HISTORY / POLICE SERVICE HISTORY


Date of Commission (for military officers) or date of enlistment/entry to service (for police
officers):
3.

Current rank

Date Last
Promoted

Date eligible for


promotion to next
rank

Projected Retirement date


from current rank

Branch/Corp/Mustering
Sub Specialisation/additional
qualifications

4.

DEGREES AND ACADEMIC DISTINCTIONS OBTAINED:


NAME of INSTITUTION,
ATTENDED:
PLACE AND COUTNRY.
FROM:
TO:
Please give complete
Month/Yea Month/Year
address.
r
Military Academy
(and/or similar military
officer institution) name and address:

Militar
y
or
Police
Degree
s

Command and Staff


College (and/or similar
military officers
institutions) - name
and address:
Police Academy (and/or
similar law
enforcement training

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RANK/DEGREES and
ACADEMIC DISTINCTIONS
OBTAINED

institution) - name and


address:

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NAME of INSTITUTION,
PLACE AND COUTNRY.
Please give complete
address.

ATTENDED:
FROM:
Month/Yea
r

TO:
Month/Year

DEGREES and ACADEMIC


DISTINCTIONS OBTAINED

Civilia
n
Degre
es

MILITARY AND/OR POLICE TRAINING COURSES/SEMINARS: Related to the post


Name of Course
Date attended:
Institution
FROM mm/yyTO mm/yy
5.

EXPERIENCE IN PEACEKEEPING OPERATIONS:


Specify UN or other International Experience, start with your most recent
experience and list in reverse order
Dates FROM
Mission/
Position/title
Description of duties
mm/yy- TO
Operation/Loc (Milob, HQ Staff,
mm/yy
ation
Contgt, Adviser,
International Police
Officer (IPO), Police
Adviser, FPU
Officer,
Professional Post
or Above)
6.

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COMMAND EXPERIENCE (at Battalion/equivalent level or above when applying


for position at the P5 level and above):
Start with your most recent experience and list in reverse order
Dates FROM
Unit level:
Unit/Position/Org Significant Unit Activities
mm/yy- TO
Company/
mm/yy
Battalion/ Brigade/
Division or
equivalent. Police
Command
Experience
7.

SIGNIFICANT EXPERIENCE RELATED TO THE FUNTIONS OF THE POST/S YOU ARE


APPLYING:
Start with your most recent experience and list in reverse order
Dates FROM
Position/Org
Operation/Activity
mm/yy- TO
mm/yy
8.

INTERNATIONAL EXPOSURE OTHER THAN PEACEKEEPING OPERATIONS:


Start with your most recent experience and list in reverse order
Date: FROM
Position/Org
Function/Activity
mm/yy- TO
mm/yy
9.

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10. Additional

Comments:

11. I

certify that the statements made by me in answer to the foregoing questions


are complete and correct. I understand that any misrepresentation or
material omission made on a Personal History form or other document
requested by the Organization renders a candidate ineligible for further
consideration.

I declare that I have never committed, been convicted of and am not currently under
investigation or being prosecuted for any criminal, human rights, civil action or disciplinary
offence, with the exception of minor traffic violations (driving while intoxicated or
dangerous or careless driving are not considered minor traffic violations for this purpose). I
declare that I have not been involved, by act or omission, in the commission of any
violation of international human rights law or international humanitarian law.
I am not able to attest to the proceeding paragraphs for the following reasons:

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.

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B.

TO BE COMPLETED BY THE RELEVANT LOCAL AUTHORITY:

On behalf of I certify that the information provided by


.
is complete and correct.
I further certify that the nominated candidate has never been convicted of, or is not
currently under investigation or being prosecuted for, any criminal or disciplinary offence,
or any violations of international human rights law, civil action or disciplinary offence.
The Government of ________________________________________ is not aware of any allegations
against the nominated candidate that she/he has committed or been involved, by act or
omission, in the commission of any acts that may amount to violations of international
human rights law or international humanitarian law.
In the case of the nominee who has been investigated for, charged with or prosecuted for
any criminal offence, with the exception of minor traffic violations (driving while intoxicated
or dangerous or careless driving are not considered minor traffic violations for this
purpose), but was not convicted, the Government is requested to provide information
regarding the investigation(s) or prosecutions concerned.

Date.
Official Stamp
.

PLEASE NOTE:
An incomplete or unsigned form will not be accepted

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