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INTERNATIONAL ORGANIZATION FOR MIGRATION

17, Route des Morillons


P.O. Box 71
If you are applying for a specific CH - 1211 GENEVA 19
Vacancy Notice, please quote SWITZERLAND
relevant position title and vacancy
number:
PERSONAL ATTACH
HISTORY PHOTOGRAPH
HERE

1. A) Surname First Name Middle Name Maiden Name, if any

B) List any other names used


2. A) Permanent Address B) Telephone No.

3. A) Present Residence (Specify City, Province or State, Country) B) Since (date) Until (anticipated date) C) Telephone No.

4. A) Place of Birth B) Date of Birth C) Citizenship at Birth D) Present Citizenship


(If Swiss, canton and origin)

E) Passport or Identity Card No. Date of Issue/Date of Expiry Place of Issue (in full)

5. Sex (Check) 6. Marital Status (Check)

Male |__| Female |__| Single |___| Married |__| Widow(er) |__| Divorced |__| Separated |__|

7. Have you any depedents? Yes |___| No |___| If answer is "Yes" give following information:

Name Age Relationship Name Age Relationship

8. LANGUAGES
(List mother tongue first)
READ WRITE SPEAK
Language
Excellent Good Poor Excellent Good Poor Excellent Good Poor
9. EDUCATION: Give full details, using the following space in so far as it is appropriate of schools or other formal training or education from age 14 (e.g. high
school, technical school, apprenticeship, university or its equivalent):

Years attended Certificates, diplomas, degrees or


Name and Place Type
From To academic distinctions obtained

B) List any special skills you possess and machines and


10. A) Indicate speed in words per minute (if applicable) equipment you can use
Other Languages
English French Spanish
Shorthand
Typing

11. List all organizations with which you are or have been affiliated. This list is to include all affiliations, whether social, professional, fraternal, etc.

12. List activities in civic, public or international affairs and name any significant publications you have written.

13. For what kind of work do you wish to be considered?

14. A) Are you willing to accept a post requiring travel?

B) Would you accept short term employment?

C) Would you accept an emergency field assignment at short notice?

15. In the event of your being selected, how much notice would you need before appointment?

16. Have you any objections to our making inquiries of your present employer? Yes |___| No |___|
17. EMPLOYMENT RECORD : Starting with your present occupation, list in reverse order each activity in which you have been
engaged, accounting fully for your time. List military service and any period of unemployment of more than six months'
duration. Use a separate block for each period and additional sheets if necessary.
Present or most recent occupation Description of duties and responsibilities
Dates Annual emoluments:
From To Salary
(month/year) (month/year)
Allowances
Total
Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving


18. 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 17.
Name in full (Direct Supervisors) Telephone Number and Email Business or Occupation

19. (a) Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding, or convicted,
fined or imprisoned or placed on probation in connection with such a proceeding, or have you ever been arrested or required to
deposit bail or collateral for the violation of any law or regulation, civil or military (excluding traffic violations)?

Answer ''Yes'' or ''No''

(b) If your answer is ''Yes'' under item 19 (a) above, attach separate sheet giving details of all arrests and fines other than
minor traffic violations. Specify charge, date, place where arrested, and disposition.
20. State any other relevant facts. Include information regarding any residence or prolonged travel abroad, give dates, areas,
purpose, etc. State any significant experience not included in Section 17 which you believe will serve in the evaluation of your
record.

21. State any disabilities which might limit the performance of your work.
(Appointment is subject to compliance with medical requirements.)

Having answered every question above, I, the undersigned, declare that the information contained in this form is, to the best of
my knowledge, true, complete and accurate, knowing that, if employed, any false declaration or concealment of material facts
may result in disciplinary action including dismissal.

Place and Date Signature

PLEASE NOTE

Applications will not, as a general rule, be valid or retained by the Organization for more than one year from date of receipt.
While you may rest assured that your candidature will be carefully examined, receipt of this form will not be acknowledged, and
any further correspondence will be initiated by the Organization.

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