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Central Bureau of Investigation
International Police Cooperation CELL
6th Floor, 5-B, CGO Complex
Lodhi Road, New Delhi
Sub:-
Nomination for Police Chief of Staff, P-4 ( Seconded) in
MINUSTAH - reg .
Please find enclosed herewith a Message dt. 28-04-2015 received from
Shri Raman Kumar, Under Secretary to the Government of India, 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
Pl/r3-/Y
Assistant Director
CBI/IPCC/New Delhi
S13 (HQ), CBI, HO, New Delhi
CBI I.D. No. /
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1.
2.
-DIRECTOR CBI
1.4ENNI DELHI
....
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3.
4.
5.
The Chief Secretaries and DsG (P)s of all States / UTs
Directors - IB/CB1/SVPRA/SPG/NEPA/NICFS/CFSL/
DCPW/NCRB.
DsG - BSF/CRPF/ITBP/CISF/NSG/RPF/BPR&D/SSB
/NCB/NIA/Assam Rifles (Through LOAR)
Commissioner of Police Delhi.
UT Division, MHA
No.21023/17/2015-PMA
9 APR 2015
Dated the ('Z g April, 2015
Subject :- Nomination for Police Chief of Staff, P-4 (Seconded) in
MINUSTAH.
0))
UNDPKO through PMI to UN has sought the nomination of Individual
Police Officers for the Post of Police Chief of Staff, P-4 (Seconded) in
MINUSTAH for an initial period of one year with possibility of extension. :Not mentioned.
Number of post
Rai Dy. i,,:o...,P..5.e.7.7.7.
P-4, [SP/DIG]
Level of Post
Organization
MINUSTAH
12. Months (extendible) 'onth / ,05-..
Duration
•.
2015-MINUSTAH-5180a-DPKQ _ _._
Job Opening number
Date of submission of nomination to PMI to UN — 25th May, 2015.
•
2..0.15-
Qualifications:
Education:
Advanced University Degree (Master's or equivalent) in Law
e nforcement, Criminal Justice, Public Administration, Human Resources
Management, Logistics, Social Sciences or other relevant field. A first level
university degree with a combination of relevant academic qualifications and
extensive experience in law enforcement, including planning and administration
may be accepted in lieu of the advanced university degree. Graduation from a
certified police academy or other law enforcement training institution is also
required.
Work Experience: A minimum of ten (10) years of relevant progressive
responsible experience in law enforcement in a national law enforcement
agency at the strategic, operational and managerial level. At least seven (7)
years of practical experience in such areas as police administration, human
and/or financial resources managements, assets management, police policy
development. Peacekeeping or other international experience in the UN or other
organizations is desired. Familiarity with United Nations administrative policies
and procedures is highly desirable.
pi,N N 1/0
Office of DIG,SIPCU)
Dy. No ....... 1 D ..
Dated 1 i)
.
Languages: English and French are the working languages of the UN. For the
post advertised, proficiency in oral and written English and French is required.
Knowledge of another official language is an advantage.
It is requested that nomination of eligible and willing officer of the level
2.
of SP/DIG (P 4) may be submitted to this Ministry by 18th May 2015 along with
the following documents duly completed in all respect:-
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 will be
entertained/accepted as it invites lot of observations from UN HQ
(UNDPKO) while finalising the nominations. 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.
( Raman Kumar
Under Secretary to the Government of India
:23093443
— :23093750/2398
:[email protected]
3
C opy to
1. Commissioner of Police
Mumbai, Kolkatta, Chennai and Bangalore.
2. SO (IT), MHA -
It is requested to forward the
nominations of eligible and willing
officers though State Government
With the request to uplo etgl 'above communication on MHA
website.
( Raman Kumar
Under Secretary to the Government of India
)
S'?:23093443
A:23093750/2398
\-1
BIO-DATA PROFORMA
Annexure
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)
1/55;
United Nations ---' Nations Unies
K;S AP-?. 2 I P
r. 312.
001833.
DPKO/OROLSIND/2015/0604
The Secretariat of the United Nations presents its compliments to the
Permanent Mission of Member State to the United Nations and has the honour to
invite its Government to nominate Individual Police Officers in active service for
appointment on secondment to the United Nations Stabilization Mission in Haiti
(MINUSTAH) for a period of one year. This invitation is contingent to the final
approval of the post, which is still ongoing. Any further contract extension can be
granted on an exceptional basis provided there is a mission mandate requirement
and the incumbent displays good perf.ormanec, dedication, professionalism and the
achieved results. The final decision on the extension is subject to approval by the
United Nations and concurrence by the national authorities.
Details regarding the posits for which the Secretariat is seeking quail lied
applicants are provided in the attached job opening #2015-M1NUSTAH -51806- .
DPKO. Also attached are the "Application Procedures for United Nations Police
Officers on Assignment with Peacekeeping` Operations or Special Political
Missions".
The Secretariat kindly requests the Permanent Mission to submit a separate
application for each candidate, to the Police Division/OROLSI/DPKO, 01
Plaza DC1, Room 0716,, in accordance with the above-referenced procedures,
certifying that the nominees meet the requirements as set forth in the attached job
description's as well as in the "Guidelines for United Nations Police Officers on
Assignment. with Peacekeeping Operations." Applications submitted after the
deadline specified in the job description/8 will not be considered_
The Permanent Mission is also requested to confirm that selected candidates
will be released, in a timely manner, from the national police service obligations
for service with the United Nations. It is also requested to ensure that the rank of
each candidate submitted is indicated on the. application. In addition, it is strongly
reconunended that Member States carefully pre-screen their applicants and submit
only.those candidates meeting all requirements for the position/s as described in the
job opening/s.
Member States are strongly encouraged to notninate qualified female police
officers. Preference will be given to equally qualified women candidates.
Should the Permanent Mission so agree, nominees may also-be considered
for services with other United Nations peacekeeping or special political missions.
The Secretariat would be most grateful if an indication to this eilect could be
ave
Ei)
United Nations
Nations Unies
included in the submission.
The Secretariat wishes to outline that it is the responsibility of the
Government to ensure that each candidate it nominates has not 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 or
o.no mi nees who have been
international humanitarian law. In the casef
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 arc not considered minor traffic violations for this purpose), but
were not convicted, the Government is requested to provide information regarding
the investigation(s) or prosecutions concerned. the (.fovermnent is also requested
to certify that it is not aware of any allegations against its nominated candidates
that they have committed or been involved, by act or omission, in the commission
of any acts that may amount to violations of international human rig lts law or
international humanitarian
The Secretariat recalls that the responsibilities of those personnel who are
appointed to serve in United Nations .peacekeeping or special political missions are
exclusively international in character= They perform their functions under the
authority of, and in full compliance with, the instructions of the Secretary-General
of the United Nations and persons acting on his behalf and arc duty-bound not to
seek or accept instructions in regard to the performance of their duties from any
government or from other authorities external to the United Nations. Seconded
personnel should early out their fiinctions in accordance with all applicable
regulations, rules and. procedures of the. Organization.
The Secretariat of the United Nations avails itself of this opportunity to
renew to the Permanent .MisSion of Member State to the United Nations the
assurances of its highest consideration.
21 April 2 15
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Organizational Unit
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Police Chief of Staff, P-4 (seconded)
United Nations Stabilization Mission in Haiti (MINUSTAII)
Haiti
Police Commissioner
12 Month (extendible)
25 May 2015
2015-MIN USTAH -51806- DPKO
United Nations Core Values: Integrity, Professionalism and Respect
for Diversity
RESPONSIBILITIES:
In compliance with the UN mandate and under the supervision and substantive guidance of the Police
Conunissioner, the Police Chief of.Staff will be responsible for the adininiStrative and logistic support of the
UN Police component inits performing mandates , tasks. The:Police. Chief of Staff will in particular coordinate
the work of respective sections in the areas of personnel, logistics, fleet maintenance, legal advisory, conduct
and disciplinary issues, public information and induction training for the new UNPOL arrivals. Within the
limits of delegated authority, the Police Chief of Staff Will be responsible for, but not limited to, the
performance of the following duties:
•
Managing respective UN Police Headquarters sections under his/her command;
•
Developing and updating administrative policy directives, plans and orders of the Police Commissioner,
deployment plans, Standard Operating Procedures (SOP); preparing and publishing informational bulletins
on new directives and instructions requiring the attention of all UN Police officers.
•
Supervising human resource management process: assisting in the determination of the appropriate
assignments and providing recommendations to the Police Commissioner on the timely appointment of
suitable personnel to key non - professional positions prior to the time when they become vacant;
•
Overseeing and monitoring the deployment of individual police officers and allocation ofrelated resources
to meet operational requirements;
•
Ensuring the planning of UN Police officers rotations, tour of duty extensions, leave and CTO;
coordinating and overseeing the movement: of personnel (MOP) within the Mission and outside the
Mission;
•
Maintaining the personnel record tiling system:
•
Providing general .oversight of all assets belonging to the UNPOL component and their proper use by the
component;
•
Maintaining permanent liaison with all. sections of the Mission Support component and international staff
section regarding police requirements in terms of travel, deployment, accommodation, finance, offices,
CITS, logistics, supply, constructions, etc.
•
Organizing legal advisory support to the. UN Police leadership and other UNPOL staff when necessary;
•
1 rlsuring compliance with the United Nations rules, regulations, and Mission Mandate, conformity to the
highest standards of professional conduct and personal behavior by the UNPOL, proper utilization of
police resources under her/his command at all times including implementing regular inspection regimes
and initiating corrective measures to improve efficiency and effectiveness. within UN police component
and harmony with other mission components in the spirit of an integrated mission and attainment of
common goals;
•
Overseeing coherent mission induction programs, for all the new UNPOL arrivals and exploring and
facilitating additional, in-house training to the UNPOL members in collaboration with the mission
Integrated Training Service (ITS);
•
In coordination with. and under the guidance of the DPKO/Pol ice Division, organizing the certifieation of
Selection Assistance and Assessment 'learn (SHAT) members; nominating the above trainers for
participation in SAAT sessions in Police Contributing Countries,. at the request of the DPKO/Police
Division;
•
Conducting visits to Mission team sites to verify that morale is high, and work is being done in a fair and
equitable manner and in .accordance with - Sound and progressive. management principles;
•
If necessary, carrying out internal investigations on allegations of misconduct by individual police officers
and recommending relevant disciplinary action in e0Ordination with the Mission Disciplinary Unit;
representing the 11N Police-on Boards of Inquiry;
•
Maintaining permanent administrative information exchange.between the UN Police component and the
DPKO/Police Division; ensuring regular dissemination of UNPOL strength reports among the T_TNPOL
staff, Mission leadership, the DPKO/Pol ice Division;
•
Performing any other dutieS as assigned by the Police Commissioner in fulfillment of the mandate.
COMPETENCIES:
Professionalism: Shows pride in .work and achievements; demonstrates professional competenee.and mastery
of subject matter; is conscientious and efficient in mccting commitments, observing deadlines and achieving
results; is motivated by professional rather than personal concerns; shows persistence when faced With
difficult problems or challenges; remains cairn in stressful situations_ Takes responsibility for incorporating
gender perspectives and ensures the equal participation of women and men in all areas of work. Outstanding
expert knowledge in the technical field of work in general and in the, specific- areas being supervised in
particular; strong organizational skills; experience in the Management and administration: ability to review
and edit the work of others.
Planning and organizing: Develops clear goals that are 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 for contingencies when planning; monitors and adjusts plans
and actions as necessary; uses time efficiently
Communication: Speaks-and. writes clearly and effectively:- listens to others, correctly interprets messages
from others and responds .appropriately; asks questionS to clarify, and exhibits interest in having two-way
communication; tailors language, tone ; style and format to match audience; demonstrates opeanessin sharing
information and keeping people informed. Communicates effectively with a wide range of international and
national agencies, partners and people of different national and cultural backgrounds.
Teamwork; Works collaboratively with colleagues to achieve organizational goals; solicits inputs by
genuinely valuing - other's ideas and expertise; is willing to learn from others; supports and acts in
accordance with final group decision, even when such decisions may not - entirely reflect _ own position;
shares credit for team accomplishments and accepts joint responsibility for team shortcomings.
QUALIFICATIONS:
Education: Advanced University Degree (Master's or equivalent) in Law enforcement, Criminal Justice,
Public Administration, Human Resources Management, I .ogistics, Social Sciences or other relevant field. A
first level university degree with a .combination of relevant academic qualifications and extensive experience
in law enforcement, including planning and administration may be accepted in lieu of the advanced university
degree. Graduation from a certified police• academy or other law enforcement training institution is also
required.
Work Experience: A minimum of ten (10) :years of relevant. progressive responsible experience in law
enforcement in a national law enforcement agency at the strategic, operational, and managerial level. At least
seven (7) years of practical experience in such areas as police administration, human and/or financial
resources managements, assets management, police policy development. .Peacekeeping or other international
experience in the UN or other organizations is desired.'Familiaritywith United Nations administrative policies
and procedures is. highly desirable.
Rank: Lieutenant Colonel/ Chief or Senior Superintendent, equivalent .or higher.
Languages: English and French are the working languages of the UN. For the post advertised, proficiency in
oral and written English and French is required. Knowledge of another official language is an advantage.
Preference will be given to equally qualified women candidateS.
Date of Issuance: 20 April 201 5
htto://vvww.un.orkfen/peneelteenimdsitcs/oolice
.
APPLICATION PROCEDIllt PS FOR PROFESSIONA . CONTRACTED
POSITIONS IN UNITED NATIONS POLICE COMPONENTS IN PEACFK MING
OPERATIONS OR SPECIAL POLITICAL MISSIONS REQUIRING OFFICIAL.
SECONDMENT FROM NATIONAL GOVERNMENTS OF UN MEMBER STATES
Outlined below arc the procedures to he followed by Permanent Missions for the presentation
of candidates to professional posts requiring secondment from active police service, which
are open for recruitment within UN peacekeeping operations or special political missions. In
the interest of promoting an orderly. .proceSs and to. avoid delay in the consideration of
applications, Permanent Missions are respectfully requested to.adhere closely to these
procedures:
1. The above mentioned posts are reserved only for candidates recommended by Member
States through their Permanent MisSiOns to the United Nations. Candidates applying
independently will not'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 after the deadline will not he considered.
2. All applications must be submitted in a duly completed typed (not hand-written) and
signed United Nations Personal History Form (P.11.) along with Academic and
Employment Certification Form (attachm ent. to P-11 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-I 1 form and attachment are enclosed as
samples to be photocopied as needed.
3. Selection, for service with the United Nations is made on a competitive basis. It is
therefore essential that All the.Personal History Forms be 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. In the event a Permanent Mission wishes to
recommend a candidate for several posts, a separate Personal History Form should be
submitted for each post.
4. In.aceordanee 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 "selfattestation" that s/he has not committed any serious criminal offences and has not been
involved in violations of international human rights Or international humanitarian. law.
The self-attestation natiSt be attached to the P-11 form and contain the following wording:
[attest that I have not eorinnitted, 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 .human rights law or international humanitarian law_
The applications withOut signed individual self-attestations will not be accepted.
5. Permanent Mission are requested to present their candidates in one single submission, in
accordance with the ,dcadlinc date specified in the job Opening. wider 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 RecruitmentSection, Office of Rule and Law and Security Institutions,
Department of Peacekeeping Operations at 1- . UN Plaza, 7(11 floor, room DC1 -0776, in
accordance with the specific directions in the relevant Note Verbale.
7. Upon delivery of the applications, the Selections and Recruitment Section will
acknowledge the receipt to the individual making the delivery.
8. Communication regarding this process will be through the Permanent Mission only. The
Secretariat will not entertain personal queries from individual applicants.
April 2014
1
1)t) nOt WfitC.
INSTRUCTIONS
PERSONAL 'II IS' WRY
fin t name
Family name
Maiden tame, ifmy
Middle name
Narinnali y(ie4) RI birth
Place of birth
2. Date of (duy/month/yr)
Ttirth
7.
}Aright
8. Weight
NATIONS
UNITED
Please answer each question clearly and
completely. TYPE OR PRINT LEGIBLY.
Read carefully and follow all directions,
in This Space
Present Nationality(ies) 1 6.
Sas'
Marital Status:
Married ❑
Single ❑
Separated ❑
Widow(cr)
Divorced ❑
Eon y into -United Nations service might require assigninent to any armor the world in which the United Nations might have revonsthittrics,
YES 1::-.1
NO U
(a) Are there any limitations on your ability to perform in your prospective field of work'?
'YT.S ❑
NO
(b) Are there any limitations on your shalt!, to i,.. lem,e. in alt travel?
10.
9.
p
❑
.
12.
Permanent address
Present address
13. 00 cc Telephone No.
P1. Office Fax No,
Telephone No. (
Telephoue/Fax No. (
(
E-mail:
15. Do you have any dependent children?
16.
❑
NO ❑
. information:
If the answer is "yee", give the followtoz
natc.of Birth (dayimo/year)
Name of Children
15. (a)
YES
Place of Birth
Nat ionaIily
Gender
blame of Spouse
Have you taken up legal permanent residencT. tratus
in
Y
any country other than that Of yo ► ir nationality! .
NO El
ifanswer"yt.hcoun?
17.
18.
Have you taken any legal step. towards changing your present nationality?
If answer is '"yes". explain fully:
YES rl NO
Ate any of yutet telatives employed by a puhticimernarlonal organiziition?
YES ❑
If answer is -yes-, give the following -htionnallen:
NAME
R ela ti onsh ip
111
NO ❑
Name of International orminin ► rion
19. What is your preferred field of work?
20. Would you accept eni.plirynient fin less than Lk months?
21. 'lave you previously submitted an m.i) licatioa for employment and/or undergone any kids
YES El
NO 11
with
YES
NO U If so. when?'
2?. TaslOWL EDGE OF LANGIJAGPS, What is your mother tongue?
OTHER LAMA 'AGES
READ
WRITE
SPEAK
UNDERSTAND
Easily
Not Pasily
Not Easily
Emily
Fluently
Nut Fluently
Not Easily
❑
❑
❑
❑
O
23. For clerical grades only
halkore :ipeed in words per mtpute
English
Fiend)
Other languages
❑
0
❑
O
❑
❑
❑
❑
❑ ❑
0 0
❑
❑
List arty office machines or equipment and
computer programmes you use.
Typing
Shorthand
P.11 (7.03).R
2
24. EDUCATION, (rive till] (lentils -.
A. I)niversity or equivalent
NAME, PLACE AND COUNTRY
Please give complete addiess.
T'Icasc Ore exact titles of del.,ertes in original language. Plcu.ce do not ttanslate or equate to other degree;,
ATTENDED FROM/ II) 1
Month/Year Month/Year
n. SCHOOLS OR OTHER FORMAL TRAINING OR
NAME, PLACE AND COUNTRY
Please Aivc Complete address.
TYPE
DEGREES and ACAOE.MIC
MAIN COI Itts F. OF STUDY
DISTINCTIONS 013TAINED
EDUCATION FR OM AGE 14 (e.g., high school tcebniCal selfoo: or Upprenticeship)
YEARS ATTENDED
CERTIFICATES OR nrmomAs
OLSIAINEL)
FROM
TO
23.
LIST PROFESSIONAL SOCIF:TTRS AND ACTIVITIES
26.
LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRII -IF„N (DO NOT /ITTACI1)
27.
EMPLOYMENT RECORD; Starting with von,. present post list in REVERSP. ()Rm.): 'very employment you have kw!, the a separate block for each p o:ir.
Include also service in the urmed forces and note any period during which you were not }itain.Cully employed. If you need tixOrt spa, attach additional pages
the Mlle Size. Give both gross and net sslariee per animal for your last or pretent post.
A.
IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS- -
PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMatT)
FROM
MONTH/YEAR
MONTH/YFAR
STARLING
SALARIES PER ANNUM
FINAL
NAME Of EMPLOYER:
TYPE OF BIISINF.SS
ADDRESS OP EMPLOYER
NAMH.OF SUPERVISOR
EXACT TM OF YOUR POST:
NO. AND KIND OF EMI'LOYEES
SUPERVISED BY YOU:
REASON FOR LEAVING
DESCRIPTION OF YOUR DITUFS:
l'. 1 1 r1.(1 1 )-E
3
B. PREVIOUS POST3 (IN REVERSE ORDER
FROM
TO
MONTI-I/YEAR
MONTH/YEAR
SALARIES PF.R ANNUM
STA.RTINC
EXACT TITLE OF YOUR POST:
FINAl.
,
NAME OF EMPLOYER:
TYPE OF RUMNESS:
ADDRP.SS OF EMI'LOYER'.
NAME OF SUPERVISOR
NO. AND KIND OF EMPT.OYEES
SUPERVISED BY YOU:
'
REASON FOR LE A VINO •
DESCRIPTION OF YOUR DUTIES
• .
FROM
TO
MONTH/YE A.R
MONTI.1./YEAR
SALARIES PER ANNUM
STARTING
'EXACT TITLE OF YOUR POST;
FINAL
NAME OF EMPLOYER:
TYPE.'OF BUSINF.SS;
ADDRESS OF F.MPI.0 YEW
NAME. OF SUPERVISOR:
-NO. ANDKIND OF F.MPI .0YEES
SUPERVISED BY YOU:
REASON FM. LEAVING:
DESCRIPTION OF YOLfR.vij Illis
FROM
TO
MONTH/YEAR
MONTIT/YEAR
SALARIES
STARTING
PER ANNUM
EXAC.I TITI .F. OF YOUR POST:
FINAL
NAME OF EMPLOYER:
TYPE OF 'BUSINESS:
AI >DRESS OF EMPLOYER.
NAME OF SUPERVISOR:
NO. AND KIND OF EMPLOYEES
SUPER V ISEP BY YOU:
DEScRIPTION
REASON FOR LEAVING.
OF YOUR DUTIES
•
P.11 (7-11:9•ii
4
215. HAVE YOU ANY 0I-3JECTIONS TO OUR MAKINti INQUIRIbS OF
\mug
P.RESENT EMPLOYER?
Yt..:S
29. ARE YOI I NOW OR I lAvii YOU EVER BEEN A CIVIL SLRVANT IN YOUR GOVERNMENT'S EMPLOY?
If zttavvr.t - is - 'yes", WHEN?
10 .
1.o not ?veal name's of superviyort illird tinder
_____---
'.0..
NO ❑
YES F.]
N0 -111
PFFFIzriNCES: List three Persons, Not relAtefl to yon. and arc not cturcai 'jolted Notiuns :tuff members, who are familia with your chno2.c.tcl mat qualifications.
1k171
27.
F111.1. ATMREss
PULL NAME
3I
a
BUSINESS OR OCCUPATION
----
STATE ANY °TITER RTLEVANT !'ACTS. INCT.UDE INFORMATION R.EGARDINO ANY RESIDENCE OUTSIDE TfrIE C:OUNIRY OF
YOUR NATIONALITY.
HAVE YOU EVER BEEN ARRFSMD, INDICTED, OR SIIMMON.ED INTO COURT AS A
Dr1113NDANT IN A CRIMINAL PROCEI2DING, OR
CONVICTED. FiNED OR IMPRISONED FOR TILE VIOLATION OF ANY LAW (excluding minor Traffic violations)?
YES ❑
NO ❑
If "ye", give full particulars of each case In an attached stinernenr_
33.
OTHER AGENCIES OF THE UNITED NATIONS SYSTEM: MAY BE INTERESTED IN OUR APPLICANTS, DO YOU HAVE ANY OBJECTION •11)
YOUR PERSONAL HISTORY FORM BEING MADE AVAILABLE 10 THEM?
YES
❑
NO.
❑
34. 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. ',understand that any miiirepre§en4ition or material omission made on a Personal History form or other
document rcqueNted by the Organization renders a staff member of the United Nations liable to termination or dismissal.
DATE,
(day, month, yeat)
N.B. You will be requested to
SIGNATURE:
Abpply
documentary
evidence
which supports the statements you have made
above. Do not, however,
send any docinuentaty evidence until.Yon have been asked to do soby 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.
P.11 (7-03)-F
UNITED NATIONS
Employment and Academic Certification
Attachment to Personal history Profile (P11)
TO BE COMPLETED BY CANDIDATF:
Personal Data;
Middle names:
Given name:
Family Name:
Gender: MN
elnail address:
Position for wbieb .you are applying:,
Note: If nu
Aru
applying for more than one position, please submit separate P11 and Pil attachment for (trick Job opening)
Job 0 coin Number:
_
Military Service history/Police Service History
Date of. Commission (for military officers) or-date of enlistment/entry to SCrviee (for police officers):
Date Last Promoted
Current rank
Date eligible fin.'
Projected Retirement date from current
promotion to next rank
rank
Branch/C.orp/Mustering
Sub Specialisation/additional qualifications
Degrees and Academic Distinctions Obtained:.
1 al QN,
NAME. of
PLACP AND COUTNRY. Please
give complete address.
Graduation
from the
Staff/ War
College or
Pollee
Academy
(and/or
similar law
enrol-cement
institution)
University
Degree/s
ATTENDED:
FROM:
TO;
tkonth/Year Montli/Year
DEGREES and ACADEMIC
DISTINCTIONS OBTAINED
Experience in peacekeeping operations:
S. ecify_1.11,4 or other International Ex erlence, startins with your most recent experience and list in
Dates nim/yy-mni/yy Mission/
Position/title
Operation/I ocation (Milob, I IQ Staff; Contgt,
Advisor)
reverse
order
Description of duties
Command Everience, starting with your mug recent experience and liyt . in reverse order
Dates rum/yy-mnilyv Unit/Position/Org
Significant W•it. Activities
Significant Planning Eperience. start in with .uur most recent experience and list in reverse nrde.r
0 elution/Activity
Dates ninil,g-inni/yy Position/Or
(Other) International Exposure other than peace keeping operations, starting with your most recent experience and
list in reverse order
Date: mrrilyy-mnilyy Position/Org
Function/Activity
Military and/or Police Trainin Cotirses/Seininars: (lust two year)
Name of Course
Date: mm/yy • -.uut/yy
Institution.
Additional Commerifk:
I certify that the statements crude by mein answer to the foregoing questions are complete and correct. I understand that any
misrepresentation or material omission made on arerSonni History Corwin - other document requested by the Organization renders
a staff member for the Linked Nations liable ineligible for further consideration.
I declare that I have never committed, boon 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 car4less driving am not consideredminor 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
You will be requested to supply documentary evidence which supports the statements you have made above. Do not.
however, send any documentary eVidenee until you have been asked to du so. by the pipui:Lation and, in any event, do not
Submit the original tracts of references ur testimonials unless they have been obtained tot the sole use of the Organization.
N.B.
TO BE COMPLFTED BY THE RELk• rANT LOCAL AU111URITY:
On 1701111ot.
is complete and correct.
1 certify that the InfOrmation provided by
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 digniplinao , offence, or env 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 prosecutedfOr 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 infbrmation regarding the InvestigationN or prosecutions
concerned.
Date..
Official Stamp