WFP Form
WFP Form
WFP Form
Programme
Via Cesare Giulio Viola 68/70 - Parco de Medici - 00148 Rome
Telex: 626675 WFPI - Fax: 5127400 - 5133537 - Telephone: (39) (6) 522821
INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all Candidate
to affix photograph
directions. If you need more space, attach additional pages of the same size. Be sure to sign and date the form.
here
1. Family Name First Name Middle Name Maiden Name
4. (A) Place of Birth (B) Date of Birth (Day, Month, Year) (3) Citizenship at Birth (D) Present Citizenship
7. Have you any dependants? Yes No If answer is "Yes" give following information:
a) - - -
b) - - -
8. Have you taken up legal 9. Have you taken any legal steps towards changing your present nationality?
residence status in any
country other than that of Yes No If answer is "Yes", explain fully
your nationality?
Yes No
10. Have you any near relatives who are employed by a public international organization? Yes No If answer is "Yes" give following
information:
11. For what kind of work do you wish to be considered? 12. For secretarial / clerical grades only
indicate speed in words per minute:
Other
English French Spanish languages
Typing
Shorth
and
13. READ WRITE SPEAK List any special skills you possess and machines
LANGUAGES Ex- Good Fair Slight Ex- Good Fair Sligh Ex- Good Fair Slight and equipment you can use:
cellen cellent t cellent
(List mother t
tongue first)
14. Employment by the Organization may require assignment and travel to any area. Have you any disabilities or reservations which may restrict your
activities in this respect? Yes No
1
16. May we refer this Personal History Form to another United Nations/Other Agency, if appropriate?
Yes No
17. Have you previously submitted an application for employment with an international organization? Yes No
If answer is "Yes", specify organization and date:
18. EDUCATION: Give full details, using the following space insofar as it is appropriate.
(A) University or equivalent
Years Attended
Name and Place Degrees and Academic Distinctions Main Subjects
From To
(B) Schools or other formal education or training from age 14 (e.g. high school, technical school, or apprenticeship).
19. List professional societies, and activities in civic, public, or international affairs
20. List any significant publications you have written (do not attach).
21. EMPLOYMENT RECORD: Starting with your present or most recent post, list in reverse order every employment during the last ten years and any
significant experience not included in that period which you believe will be helpful in evaluating your record. Use a separate block for each post. Use
additional sheets of paper as required. Include service in the armed forces.
Dates Salaries per annum (Excl. Exact title of your post:
Allowances)
Dates Salaries per annum (Excl. Allowances) Exact title of your post:
From To (present) Starting Final Duty Station:
2
Dates Salaries per annum (Excl. Allowances) Exact title of your post:
From To (present) Starting Final Duty Station:
22. Have you any objections to our making inquiries of your present employer? Yes No
23. 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 21.
Full name Full Address (Telephone No. if known) Business or Occupation
24. LEGAL CONVICTIONS (include all convictions other than those for minor violations of road traffic regulations)
Charge Date Where tried Conviction
25. State any other relevant facts. Include information regarding any residence or prolonged travel abroad, giving dates, areas, purposes, etc. Also state
any disabilities, which might limit your field of work. Final appointment will be subject to a physical examination.
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 any required information withheld from this form may provide grounds for the withdrawal of any offer of
appointment or dismissal if an appointment has been accepted.
Date:. Signature: .