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Central Bureau of Investigation International Police Cooperation CELL 6th Floor, 5-B, CGO Complex Lodhi Road, New Delhi Sub:- Vacancy announcement - Police Commissioner, D-2 for United Nations Mission in the Republic of South Sudan(UNMISS) - reg . Please find enclosed herewith a Fax Message dt. 04-06-2015 received Shri Dinesh Mathur , Director (PERS.), Ministry of Home Affairs, PMA Cell, North Block, New Delhi on the subject cited above for necessary action at your end as UN deputaion matter is being processed at CBI, HO level . Encl:- As above SP(HQ), CBI, HO, New Delhi CBI I.D. No. /1/2/2015 2 ,1 r Assistant Director CBI/IPCC/New Delhi Dt op 0) tt tn SPH- t r‘ F4-ffitFiDateci..\'.2 - 4.0 • 4111'wq•-1, 2t) PerA, 20 irerhs./Daied—. 9-6Y6 14-op (Pars)

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Central Bureau of Investigation International Police Cooperation CELL

6th Floor, 5-B, CGO Complex Lodhi Road, New Delhi

Sub:- Vacancy announcement - Police Commissioner, D-2 for United Nations Mission in the Republic of South Sudan(UNMISS) - reg .

Please find enclosed herewith a Fax Message dt. 04-06-2015 received

Shri Dinesh Mathur , Director (PERS.), Ministry of Home Affairs, PMA Cell, North Block,

New Delhi on the subject cited above for necessary action at your end as UN deputaion

matter is being processed at CBI, HO level .

Encl:- As above

SP(HQ), CBI, HO, New Delhi

CBI I.D. No. /1/2/2015

2,1 r Assistant Director

CBI/IPCC/New Delhi

Dt

op 0)

tt tn SPH- t r‘

F4-ffitFiDateci..\'.2 - 4.0 • 4111'wq•-1, 2t)

PerA, 20 irerhs./Daied—.

9-6Y6 14-op (Pars)

From : To

lifiEcTolt c NEW Dri ,111

0 6 2 05 Month / Year

N o.21023/23/2015-PMA

Dy. No. JD (P)/ //‘ 2- /COO Dated 69 ' 6 •)

r • - • (-1 .6.°-1.:.c::

FAX/URGENT/AT ONCE 9/6 6431e01"5: ''

Offie4 of the Director elf 7,07.1e C61 N®w Delhi

Home New Delhi 1. The Chief Secretaries and DsG (P)s of all States / UTs 2. Directors - IB/CBI/SVP PA/SPG/NEPA/NICFS/CFSL/

DCPW/NCRB. 3. DsG - BSF/CRPF/ITBP/C1SF/NSG/RPF/BPR&D/S$B

/NCB/NIA/Assam Rifles (Through LOAR) 1 4. Commissioner of Police Delhi. k .44) 6

5. UT Division, MHA \JUE-2015 Dated the 04th June, 2015

Subject :- Vacancy announcement : Police Commissioner, D-2 for United Nations Mission in the Republic of South Sudan (UNMISS).

UNDKO through PMI to UN has sought the nomination of Individual Police Officers for the positions of Police Commissioner, D-2 for United Nations Mission in the Republic of South Sudan (UNMISS) for an initial period of one year with possibility of extension. :-

Number of post Not mentioned. Level of Post D-2, [lsGIAddI DG] Organization UNMISS Duration 12 Months (extendible) Job Opening number 2015-UNMI(SS-82326-DPKO

QUALIFICATIONS

6 Education: Advanced university degree (Masters or equivalent) in law, police management, law enforcement, security studies, criminal justice, business or public administration human resources management, change management (preferably in law enforcement), or related area. A first-level university degree in combination with modifying experience May be accepted in lieu of the advanced university degree. Formal specialized advance training for command/senior staff is highly desirable. Graduation from a certified Police Academy or other national or international Law Enforcement Training Institution is required.

V3 Work Experience: A minimum of 15 years (17 years in absence of advanced university degree) of progressive and active policing service/experience both at the field or national police headquarters level is required; 8 years of active police experience at senior policy making level, with extensive strategic planning and management experience in areas such as operations, crime management, police administration and police training and development; police human and/or financial resources Management - required. Practical command experience of running a department or a region or a state level police unit is required. Practical operational experience in public order management with the use of crowd control or formed police units is desirable. Previous UN or international

‘,.,A4K,sci\<experience is an advantage.

ffiice L\vc

(27/( 15f DIG (iPCU)

X-4-Dy. No ...... ........

Language: Fluency in Spoken and written English is required. Knowledge of a second UN language is an advantage. Preference will be given to equally qualified women candidates.

2. It is requested that nomination of eligible and willing officer of the level of IsG/Addl DG (D-2) may be submitted to this Ministry by 10 th July, 2015 along with the following documents duly completed in all respect:-

i. United Nations Personal History Profile (PHP) form (P.11) duly completed and signed by the nominated candidate.

United Nations Employment and Academic Certification [attachment to personal history profile (P-11)] Form duly completed and signed by the nominated candidate as well as the relevant local authority.

iii. Personal details as per Annexure-l.

3. The nominated officers may be advised to send the above document as per the format enclosed through electronic mail at e-mail address (uspmanic.in or sopmanic.in).

4. No modified format other than the specimen enclosed duly typed will be entertained/accepted as it invites lot of observations from UN HQ (UNDPKO) while finalizing the nominations. Hand written PHP/EAC will not be entertained/accepted. It may be ensured that the photographs of the officer applying for the post should be placed on the front side of P-11 form and signature in the last page at relevant place.

5. It may please be ensured that the nominees are clear from Vigilance angle.

6. No direct application will be entertained.

(Dinesh Mahur) Director (Pers)

t:23092933 &23093750/2398 srt:dirpers©nic.in

-

Copy to

It is requested to forward the nominations of eligible and willing officers though State Government only.

1. Commissioner of Police Mumbai, Kolkatta, Chennai and Bangalore.

2. SO (IT), MHA -

With the request to upload the above communication on MHA website.

Ut .

e 1,c (Dinesh Mahur)

Director (Pers) M:23092933

:4.,:23093750/2398

Annexure

BIO-DATA PROFORMA Recent passport

size photograph

1. Name of Post applied.

2. Job opening number

3. Name of the Officer

4. Designation/Rank/organisation with present place of posting.

5. In the case of officers of deputation with other organization.

(a) Name of Parent organization.

(b) Name of organization presently employed.

(c) Date of deputation

(d) Expected date of repatriation to parent cadre/organization.

6. Date of Birth

7. Education/Qualification

8. Date of Joining Police Service

9. Service/Cadre/Batch

10. Educational Qualification

11. Previous UN experience

Telephone No.

a. Office

b. Residence

c. Mobile No

d. Fax No.

e. E-mail id

I hereby certify that, I fulfill the eligibility requirement notified for the post applied

for.

(Signature of the applicant)

(L!

(art (L United Nations

roif M - . -buy' oVism.. - fi./?.fr.i., . ? , .,i ii.„ii.-::,, ,,,,o,?7ff.t.

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..„:4,„..., _ 1: 4iietOlit0:1 44*Ofgf r;,' , ........

Police Commissioner, D-2 United Nations Mission in the Republic of. South Sudan (UNMISS) Juba' Special Representative of the Secretary General in UNMISS 12 Month (extendible) 24 .Tuly 2015 2015-UNM1SS-82326-DPKO

United Nations Core Values; Integrity, Professionalism and Respect for Diversity

RESPONSIBILITIES: In compliance with the mission mandate and under the supervision and substantive guidance of the Special - Representative of the Secretary' 'general (SRSG), the Police Commissioner will he -responsible for the operational oversight of the UN Police component's activities related to the Mission mandate implementation, and will:

• Function as the principal advisor to the SRSG on all pertinent policing, matters in the support of the mandate:

• Direct all efforts of the UNPOL component of the Mission, in Protection of Civilians, in particular protectiOn women and children in support of SCR 2187.

• Deter Violence against the civilians; undertake a complete review- of I INPOT. activity in particular proactive deployment and active patrolling, in Protection of (POC) sites

• Oversee the contribution of .1.1N1,01, to the implementation of the Mission Wide Early Warning Strategy, including a coordinated approach to information gathering, monitoring, verification, early warning and response mechanisms including preparation forJOrther potential attacks against UN personnel and theilities.

• Supervise and facilitate public safety within the UN MISS POC sites and ensure their general security.

• OVerSee the creation and implementation of strategies to foster secure environments for the sate and voluntary' return of the internally displ aced persons (IDPs) and refugees.

• Ensure .operational, coordination with the South Sudan National Police. Service (SSNSP) in relevant and POC related tasks.

• Support the Human Rights Division in the monitoring, investigation and verification of abuses of Human Rights and International Humanitarian Law.

• Maintain situational awateness regarding all aspects of SSNPS activity and previous UNPOL involvement to facilitate UNPOT. Mission. agility should the Mission mandate change.

• Should the UNMISS mandate change, facilitate the provision of advice and assistance to SSNPS leadership in the development of short, medium and long term plans and programs for the reform, restructuring and the strengthening of the capacity of SSNPS including in strengthening its long term strategic reforms, based on planning, budgeting and performance measurements;

• Assist SSNPS in developing oversight and accountability mechanisms so as to strengthen public confidence in the SSNPS in event of mandate change;

F.

Post title and level Organizutioual Unit

Duty Station Reporting to Duration • Deadline for application Job Opening number

17 • When mandate permits, support the SSNPS in institutional development efforts, in conjuneti

with other mission components and international and bi-lateral partners. • Ensure the formulation and b.arnionizatitin of UN Police Work Plans in accordance with the

mission mandate and concept of operations (CONOPS) and regularly review and monitor their implementation;

• Provide necessary operational Oversight on all I.TNPOL activities related , to mandate implementation and Results Based Budgeting inchirlin.Q. development of work plans and Result Frameworks in line with the Mission specific mandate implementation plans, and ensure timely submission of monthly, hi-ampial and annual Progress reports of the police component and follow-up on recommendations;

• Ensure liaison with the LIN Military DSS and other l'eleVant components of the mission regarding the safety and security of the UN .Police and liaise with SSNPS counterparts in regards to the safety and security of all LIN Mice, including those co-located with the SSNPS;

• Perform any other ditties and assume other responsibilities as may be directed by the SRSG in fulfilment of the mandate.

COMPETENCIES: Professionalism: Shows pride in work and .aehieVetnentS; demonstrates professional competence and mastery of subject matter; is eoriscientioi ' 9.nd efficient in meeting commitments, obserVing deadlines and achieving results; is motivated by professional rather than personal Concerns; shows persistence when faced with difficult problems Or ehallengeS; remains calm in Stressful situations. Takes. respo.nsibili ty tbr incorporating gender perspectives and ensuring the equal participation of woolen and Men in all areas of work. In-depth knowledge of police procedures and numagetnent; strong organizational skills and a demonstrated ability to establish. priorities and. to plan, coordinate, and monitor the work of others. Understands theories; concepts and approaches relevant to democratic policing', law enforcement. Possesses ability to apply technical overtise to resolve pollee . related issues and challenges. Strong managerial and analytical. skills combined with good judgment. Planning and organizing; Develops clear goals - that arc consistent with agreed strategies; identifies priority activities and assignments; adjusts priorities as required; allocates appropriate amount of time and resources for completing Work; foresees risks. and .allows .tier contingencies when planning;. monitors and adjusts plans and actions as necessary; uses tune efficiently. Accountability: Takes ownership of all responsibilities and honors commitments; deliverS outputs for which one has responsibility within prescribed time, cost and quality standards; operates in compliance with organizational regulations and rules; supports subordinates. ,proVides oversight and takes responsibility for delegated assignments; takes persOnal reSponsibility for his/her own shortcomings and those of the work unit., Where applicable.

Leadership Serves as a role. model that other people want to follow; entpewers others to translate vision into results; is proactive in developing strategies to accomplish objectives; establishes and maintains relationships with a broad range of people to understand needs and gain support; anticipates and resolves conflicts by pursuing mutually agreeable solutions; drives for change and improvements; does not accept the status quo;. shows the courage to take unpopular stands. judgment/Decision-making: identifies the key issues in a complex situation, and conies to the heart of the problem quickly; gathers relevant information before making a decision; considers Positive and negative impacts of decisions prior to making them; takes decisions with an eye 19 the impact on others and on the Organization; proposes a course of action or makes arecaimmendation. based on all available information; checks assintiptions against facts; determines that the actions proposed will satisfy the expressed and underlying. needs for the decision;. makes tough decisions when necessary. QUALIFICATIONS: Education: Advanced university degree (Masters or equivalent) in law, police management, law enforcement, security stndies, criminal justice, business or public administration, human resources management, change management (preferably in law enforcement), or related area. A first-level

i university degree. in combination with qualifying experience May be accepted in lieu of the advanced

ttb.

university degree. Formal specialized advance training for command/senior staff is highly desirable. Graduation from a certified Police Academy - or other 'national or international Law Enforcement Training institution is required. Work F•xperience: A minimum of 15 years (17 years in absence of advanced university degree) of progressive and active policing serviee/experience both at the field or national police headquarters level

-required; 8 years of active police experience at senior policy making level, with extensive strategic planning and management experience in areas such at operations, crime management, police administration ;:uid police trainingand development: police human and/or financial resources Management - required. Practical command .expoxienee of running a department or a region or a state level police unit

-required. Practical operational experience in public order management with the use of crowd control or formed police units is desirable. Previous UN or international experience is an advantage. Rank: Chief/Senior Superintendent of Pollee, Police Commissioner, Deputy (Assistant) Inspector General, eqUivalent to senior colonel/general in the military or higher rank. Language: Fluency in spoken and written .hnglish..iS requird. Knowledge of a second UN language is an advantage.

Preference will be given to equally qualified women candidates, Date of issuance: 01 Julie 2015

In accordance with the new Policy ott Ifitinan Rights Screening of UN Personnel, all individuals who seek to serve with the United Nations are requested to make "self-attestation" that - s/he bus not committed any serious criminal offea.ces and has not been involved in violations of international human rights or international humanitarian law. The exact wording of the self-atteStation is outlined in para. 5.2 of the above mentioned Policy. The final decision on the selection of an individual to serve with the United Nations will also be subject to human rights screening.

IIL APPLICATION PROCEDURES FOR PROFESSIONAL CONTRACTED POSITIONS IN UNITED NATIONS POLICE COMPONENTS IN PEACKKEPING OPERATIONS OR SPECIAL POLITICAL MISSIONS REQUIRING OFFICIAL

SECONDMENT FROM NATIONAL GOV.ERNMENTS OF UN MEMBER STATES

Outlined below are the procedures to he followed by Permanent-Missions for the presentation of candidates to professional posts requiring secondment' frc.im active police services, which are open for recruitment Within UN peacekeeping operations or special political missions. In the interest et:promoting an orderly process and to avoid delay in the consideration of applications, Permanent Missions are respect illy requested to adhere closely to these prncedures.

1. The above mentioned .posts air reserved only for candidates 'recommended by Member States through their Permanent Missions to the United Nations. candidates applying independently will' nut be considered. It is requested that applications be submitted as • soon as possible but not later than deadline specified in each Job Opening announcement. Applications received afterthedcadlinewill not be considered.

2. All applications must. he submitted in a duly completed typed (net hand-written) and signed Ifnited Nations Personal History Form (P.11) along with Academic and Rtriployment Certification Form (attachment to P-.I ( form). Applications using other formats will not be accepted, but additional information may be attached to the P. 11. For the convenience of the Permanent Mission, a P-11 form and attachment are enclosed as samples to: he photocopied. as needed.

3. Selection for service with the United Nations is mnde.on a eoMpetitive basis. It is therefore essential that all the Personal klistory Forms tic completed with a view to presenting the candidates qualifications and experiences as they relate to the requirements as set out in the relevant Job Opening. Its the event a PerManent Mission wishes to recommend a candidate for several posts, a separate Personal History Form should he submitted for each post.

4. In accordance with the new Policy' on Human Rights Screening of UN Personnel ; all individuals who seek to serve with the United Nations, are requested to make attestation" that s/tie has not committed any serious criminal Offences and has not been involved in violations of international human rights Or inteinational humanitarian law. The self-attestation must be attached to the P-11 form and contain the following wording: I attest that I have not committed, been convicted Of, nor prosecuted for, any criminal or disciplinary. offence. I attest that I have not been involved, by act or omission, in any violation of hum to rights law or international humanitarian law. The applications without_signed individual sclf-attcstations will not be accepted:

5- -Permanent Mission are requested to present their: candidates in one single submission, in accordance with the deadline date specified in the Job Opening, under cover of a note verbale listing the names of the candidates, post title(s) they are nominated for and the corresponding vacancy announcements.

6. Applications must be.hand-delivered by Permanent Mission to the Police Division Selection and Recruitment Section, Office of Rule and Law and Security Institutions, Department of Peacekeeping Operations at 1 UN Plaza, 7 th floor, room DC I -0776, in accordance with the specific directions in the' relevant Note Vetbale.

7. Upon delivery of the applications, the Selections and Recruitment Section will acknowledge the receipt to the individual making the-delivery.

2$. Communication regarding this process will be through the Permanent Mission only. The Secretariat will, not entertain personal queries from individual applicants.

December 20 1.4

Gender: Mir

UNITED NATIONS

Employment and Academic Certification Attachment to Personal History Profile (P1 l)

TO BE C041.11.E.TED BY CANDMATB:

Personal Data:

Family Name: liven name: Middle names:

e-mail address:

Position for which -yob are applying:

ote: if you are applying for inure than one position. Please submit separate P11 and P11 attachment for each Job Opening)

Job 0 ening Number:

Military Service History/Police Service nistory Date of Commissinit(for military officers) or date of enliStment/cntry to Wwise (fur police officers):'

Current rank

Date Last Promoted

Date eligible fOr Projocted Retirement (lute from current promotion to next rank- rank

13ranch/Corp/Mustering

Sul;-Specialisationladditinnal qualifications

De rees and Academic Distinctions Obtained: NAME of INST11111 . 10N, . N .ACE AND COUTNR V. Please give complete address.

Ciraduation from the Staff/War College or Police Academy (and/or similar law enforcement institution)

University Degree/s

ATTENDED: DEGRP.ES and ACADEMIC 1MSTINCTIONS .OBTAINED

FROM: TO: Montli/Year rviontli/Ycar

Command Ex Dates mm -norrilyy

erienee, starting with your most recent experience and list in reverse order Unit/Position/Org Significant Unit Activities

Significant Planning txperience, stoma with Vnur most recent experience and list in reverse order Dates univyy - iton/yy PusittunfOrg 0 ,eration/Activity

Experience in peacekeeping opurations: S et& UN or other Internatiminl-Exlerienre, startine, with our most recent experience and list in reverse order

Dates filin/yy-tmotyy. Mission/ PoAtion/title . Description of duties Operation/Location (Milob, HQ Staff, Cuing!,

Adviser)

(Other) International Exposure other than peare keeping operations, starting with your most recent experience and list in reverse, order

Mate: rom/yy-mm , Position/OrQ Function/Activity

Military and/or Police Itaining Courses/Seminars: (last two sears)

T certify that the statements made by me in answer to the foregoing questions :ire complete and correct. T understand that any misrepresentation or material omission made on a Personal History form or 'other document requated by the Organization renders a staff memher for the United Nations liable incligiblo fur further consideration.

1 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 1 have not been involved, by act or emission, 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 an.y event, do not submit the original tests of references:or testimonials unless they have-been obtained for the sole use of the Organization.

Name of Course Dille: mnilyy —MEDAN Institution

Additional Comments:

fl

To BE COMPLEmn BY THE RELEVA,vi LOCAL AUTHOR11 r:

On behalf of 1 certify that the information provided by is complete and Cali:lid.

1 further certify that the nominated candidate has never been convicted of, or is not currently under investigation rr being prosecuted for, any criminal or disciplinary offenc=e, 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 taw or international humanitarian law. in the case of the nominee who has been investigated fits, charged with or prosecutedfin- any criminal offence, with the exception of minor trqffic violations - (driving while intoxicated or dangerous or carehm driving arc not considered minor traffic violations fur this purpose), but was nor convicted, the Government is requested to provide infin-mnriml regarding the investigation(s) 0? prosecutions concerned.

"Date Oilici tl Stairip

12. Pi UNCTIL Permanent addrcas 13. Office. 'telephone No.

14. O ) fftee Pas Nu.

INSTR UCI' l ()NS

Please answer each question clearly and completely. TYPE OR PRINT LEGIB I .Y. Read =el-tiny and follow all directions.

Family numc f irst name

Do not write in This Sparc

NATIONS

PERSONAL HISTORY Middle name Maiden name, tinny

UNITED

Birth 41. Is:alumina yfics I at With Yre.sent Nationality(iax) E Sex Date of (day/month/yr) P ace of birth

Height (h Weight 9. tvlaried

1 Sin le ■ Married ri Separated n Widow(er) ❑ Divorced ❑ 10. Entry into United Nation:: service might require assigiintimi In any area of the world in whit:), the United Nations might have responsibilities.

(a) Atc theft: any litaitations on your ability to perform in your prospective field of Work? YES ❑ NO ❑ (b) Are tiles any liniandons on your ability to C ngagc in all travel? YES ❑ NO

Telephone No. ( Telephone/Fax No. ( . ) ( )

1s. r)0 you have any dependent children? Yti:j 0 NO ❑ If the answer is "yes'''. give thc following information:

Name of Children Date of Birth (day/n10/seur) Place of- Birth

15 (a) Name of Sponse

16. Have you ta•cit up Icg,a1 permanent residence status in Pay eiannty other then that of your nationality'? YES U NO If answer is ' -ye;:", which country?

I?. TI•IVC you taken any legal steps toward,: changing your present nationality? YES u NO ❑ If unswer is -yes- . explain

Nationality Gender

13. Arc any of your relutivea employed by n public international organization? YES U NO U

Tf answer is "Ves . give the following infOrMalio3: NAME ReIntiousltip Name of International Oraattrzanon

19. What :3 your preferred neat of work?

20. 'Would you act:4cl ernoluyrrent for less than six months' 21. flare you previously submitted nn , lication for employment nildfor undo, guile tiny tests YES ❑ NO ❑ with U.N.? YES ❑ NO LI If sn, vslutn9

22. KNOWLEDGE OF 1.AMUAGES. What is yout mother tongue.? OTHER LANGUAGES READ WRITE

Easily I Not Easily Easily I NO( naSily

Enobh 1',,,ict, Typing

Shorthand

SPEAK

1.1NDERS'iAND Fluently Not FluctAN

❑ ❑

Nory

Easil Easih

00❑

El 0

List any office machines or equipment and computer programm VS' you use.

0 0 ❑ ❑ 0 D ❑ ❑

El 0- ❑ ❑ U ❑ ❑ Li

for clerical grades only Indicate speed In words per minute

Other lansuapes

P.!I (7-03)-E

H. PREVIOUS POSTS (IN REVERSE ORDER

FROM T() SALARIES 1 UR ANNUM EXACT 'rm.!: ov youR POST.

MONTH/YEAR MWIHJYEAR STAR ON( 'FINAL

HAW 01 EIVIPLOYER: Tv FE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OE SUPERVISOR:

NO. AND KIND OF CM il .0yEEs SUPERVISHI) MY YOU:

REASON FOR LEAVING:

1)t:iS(.RIPTION OF •Yu'llk I )t.ruLE

.

.

FROM TO SALARIES PER ANN um EXACr •frrui OF YOUR POST: •

MONTH/YEAR MONTH/YEAR STARTING EiNAL

NAME OF EMPLOYER, TYPE OF BUSINESS:

ADDRESS or immoyert: NAME OF SITPER VISOR:

NO. AM), F. INO Of EMPLOYEES SUPEWV t3E) By YOU:

REASON FOR LEAVING.

DESCRIPTION OF YOUR. DUTIES

v.- FROM TO 5.41 .ARIES PER ANNUM EXACT TITLE OF YOUR POS'1':

MONTH/YEAR MONTH/YEAR STA WINO FINAL

NAME 01. EMPLOYER: TYPE C)1, HusTNESs; .

ADDRESS OF EMPLOYER, NAMI-', of SUPERVISOR,

NO. AND KIND OF EMPLOYEES SUPERVISED DV YOU:

wEASON FOR I .:A1/11.1C:

DESCRIPTION OF YOUR DI n't Es

1 3 6

r.0 (7-01).k:

t tf- 4

28. ILAVE YOU ANY OBJECTIONS TO Cu IR MAK ;NC; INQUIRIES _OF YOUIZ PR 1%tiVNT EMPLOyER1 . 'YES U IOU

ng. ARE you NOW OR °AVE YOU EVER BEEN A CIVIL 'SERVANT IN YOUR GOVERNMENT'S EMPLOY? It answer is "VPs". WIMN?

YES U NO 0

30 REFER ENC1::S; List threc persons, not :plated to yoo.nd are not currcnt IInital Nations staff tnembcrs, who are Mmil tat with your clutractcr and - clortlifieM inns. Dv MI repeal nameN V.rupi9vicorF Hoed limier pm, 27.

NI .1. NAME FULL ADDRESS lil.ISINESS OR OCCUPATION

11, sT/YD , ANY OTHER RELEVANT FACTS. INCLUDE INFORMATION Imo AR DLNG ANY RESIDENet; OUrSIDE THE COUNTRY OF YOUR NATIONALITY.

32. HAVE. YOU h3;)1A DEEN ARRES, 'TED. INDICTED. OR SUMMONED INTO COTTTYr AR a tyt.,FENDANT CONVICTED, FIN1:D Olt lIvIPRISONED FOR THE vioi.ATION OF ANY LAW (deluding minor crane violationSW

If ''yes", givz full Particulars Of oath case in en attached stottment.

IN A Cklk ti NAL PROCEED NCI, OR YES El NO •

33. OTHER AGENCIES OF THE UNITED NATIONS YOUR PERSONAL I-4 IS'FORY FORM BEING MehOli

SYSTEM MAY BE INTERESTED IN OUR APPLICANTS. DO YOU HA VF ANY nittirrioN TO (1 VAILADLE TO THF.M? YES $ NO III

31. I certify that the statements made by me in answer to the forgoing questions ttrc true, complete nail eorroct to the bast of ray knowledge and belief. I Understand that any misrepresentation of material oinissiuu made on a Personal Ilistory form or other document requested by the Organization renders a staff member of the United Nations liable to tertninalitnt or dismissal.

ISATFL (day. month, year) t:IGNASTURE!

N.B. You will be requested to supply documentary evidence which SUppotta 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 arty event, do not submit the original texts of refeiences ur testimonials unless they have been obtained for the sole use of the Organization.

PA 1 ;7-V3)-E

,thirLOYMENT RECORD S VrI'LEMENTA RY SNEF.T

PLEASE LIST, in 10, ■,:liSt: under. EVERY EMPLOYMI,:N TOL; IIAVE I IAD. 115e a 5cparatc WocK Iur each post. Include aim) Aeridee in She armed forces and note any period enrinp, which von were riot pinfally employed. See next page for more block-::.

r): - ✓1 TO -SALARIES PER ANNUM . EMACT TIT LP OF YOUR POS1 ....._ MONTI LAMAR MONTFJYAR sTARTING IINAL

NAME or EMPLOYER. I Yk`t. OF BUSINESS:

ADDRESS OF EMPLOYER. NAMT! OP SIREK.V1SUE.:

NO:1'0.11:1ND OF 17MPLOVEPS Mirt_,KvisED BY VEAL

REASON FOR I.p.Avit,4G:

DESCRIPTION OF yOUltpu'ruit.:,

PROM 10 . SALAILWS PER ANNUM EXACT TITLE OF YOUR. .POST: MUNkli/Y EAR MONTH/YEAR SlAkTi NO FINAL

NAME OF EMPLOYER: TYk. OF RUSTNESS:

ADDRESS OF EMPLOYER:' NAME OF SUPEKVISOli:

NO. AND KIND OF P.MPI.Mes $ITI'EUVISId) NY. YOU:

ItliA30t: FOR LEAVING!

.DESCKIPTION OF YOUR rojnEs

FROM TO SALAIIiitti PltR ANNUM NW

EX AVT TYI I .F, D? YOUR l'eST: MONTH/YrAtt. MONTWYEAR. i STARTING LINN.

NAME OF EMPLOYER: TYPE OP FAMINES:::

ADDRESS OF EMPLOYER: NAVE OF SUPERVISOR:

N.D. AND KIND OF ENTLO YEW; SUP•R.VISTT) RY YOU:

REASON FOR LEAVING:

oFsc;RIPTION OF YOUR DirriES

FROM TO SAI ARIES PER ANNum P.Y.ACT TrrrEOr l'C.P.IFt PO.SIT: moN17 1.4trEAR mol4TRATAR . STARTING FINAL

NAME OF TWIN .0YER • TYPE OF BUSTNEss:

ADDFPSS 0,t, t mrLoYER: NAMF OF SUPERVI$OR:

1'40. AND KIND t:F F.Mpl KoITEs SUPERVISED EY VOL)

REASON FOR LEAVING:

DESCRIPTION OP YUJI< of irmq

P.11.12 (v,00)

P 1112 ( S. On)

()( PLEASE I 1ST, in reverse order, E.V1f:KY EMPLOYMENT you 11AVE HAD. LIsc a separate Mock for ray pf .1./I. Include al so service in the armed foroc; and not Any period, during which you we e. rtni tainftilly employed,

I'LOYM ENT RF.Cfmn — SOW .F.M tisf FARY SHF.F:T

NAMP. OF EMPLOYER. TYPE Of BUSINESS:

ADDRESS OF F.MI ,LOYE.R . NAME OF MIT,PR v OUR.

REASON tOR LEA YIN(); NO. AND 1:" 01 STIPPR vi:SED BY YOU:

ADDRESS OF EMPLOYER:

NAME OP EMPLOYER: TYPE OF HUSTNFSS:

HARP. OF SUPERVISOR:

NAME OF EMPLOYER; TYPE. OF TIUSINENN,.'

ADDRESS OF EMPLOS11R: NAME Or suees.visos:

TO MON T HI YEAR

SALARIES PER . ANNUM EXACT =LP OF YOUR POST

DP.SCRIPTION OP YOUR nuTtEs

tocAcT TITLE OF YOUR POST:

TYPE OF ROSINESS:

NAME OF M IpPR VISOR;

NAVE OF EtviPLOYFR,

NO. AND KIND OF I:M.PLOYEES . Ipp.R VISRT1 Y YOU:

R FASON FOR 1.P.AVING;

DESCRWT(ON (JP YOUR I)UTIES

mom muNTI f/YEAR

TO MONTH/YEAR

SALARIES PER ;mum I EN- A(...L . TiTLF. OF YOUR POST: STARTING

•11

NO. AND '<NO •MELOVFES REASON FOL.:LEAVING: SLIPERVISPO By you:

DESCRIPTION OF YOUR nuTEEs

FRONI MON E A R

TO MONTWYP art prner Tro P. OE youR P05T SALAR.11:4 PPR ANNUM

STARTING FTNPt

NO. AND KIND OF EmpLoyEns SUPER V13ED BY you.

DESCRIPTION OP YOUR OUTII•S

REASON FOR 1,EAVING;

PROM MONTI P•PAR

ADDRESS OF P.MYLOYER!