Personal history form

| food and agriculture organization of the united nationsViale delle Terme di Caracalla, 00100 - ROME, ITALYPERSONAL HISTORY FORM | CANDIDATE TO |
| INSTRUCTIONS: Please answer each question clearly and completely. Read carefully and follow all directions. Pls. use tab key to move to next field. If you need more space, attach additional pages of the same size. Be sure to sign and date theform. | AFFIX PHOTOGRAPHHERE |
1. Family name      | First name      | Middle name      | Maiden name      | |
2. Present residence (specify city, province or state and country)      | 3. Length of present residence      | 8. Telephone      |
4. Mailing address      | 9. Fax (if any)      |
5. Place of birth      | 6. Date of birth
(day, month, year)      | 7. Present nationality(ies)      |10.E-mail (if any)      |
11. Sex Male | Female | 12. Marital Status Single | Married | Divorced | Separated | Widow(er) |
13. Language
(List mother tongue first) | READ | WRITE | SPEAK | 14. For secretarial/clerical grades only, indicate speed in words per minute. |
YOU MAY BE TESTED IN THESELANGUAGES | Excel-lent | Good | Fair | Slight | Excel-lent | Good | Fair | Slight |Excel-lent | Good | Fair | Slight | Typing | Shorthand |
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15. Please indicate the language for correspondence English French Spanish |
16. Indicate your professional (working) fields of expertise from the following sectors and job titles |
Accounting/Audit/Financial Management Agricultural finance/Credit/Investment Agricultural policy Agriculture/Agronomy Agro-industries/Post harvest systems Commodities and tradeComputer sciences/Information systems Economics/Econometrics Education/Extension/Training Engineering/Mechanization Environmental sciences Farm management/Farming systems Fisheries | Food security/Food aid Forestry Horticulture Human resources/Personnel management Legal Librarian/Document systems Livestock/Veterinary Management/Administration/Conference Marketing Medical NutritionO&M/Institutions/Development management Plant Production and protection | Project analysis and evaluation Publishing/Media/Writing/Public information Research and development Rural development and agrarian reform Secretary/Stenographer/Clerical Sociology Soils sciences and land management Statistics Translator/Interpreter/Verbatim reporter Water resource management Women in development Other (specify below)      |
17. For what kind of work do you wish to be considered           | 18. If responding to a Vacancy Announcement, please quote the number     Please submit one application for each Vacancy Announcement |
19. Computer skills Excellent Good Fair Slight |
Briefly indicate the computer packages that you normally use           |
PLEASE NOTE THAT IN EVALUATING YOURCANDIDATURE FAO RESERVES THE RIGHT TO APPROACH YOUR PREVIOUS EMPLOYER(S) FOR REFERENCES. IT IS NOT OUR POLICY TO APPROACH YOUR PRESENT EMPLOYER AT THE EVALUATION STAGE UNLESS YOU EXPRESSLY AUTHORIZE THIS. |
HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER? Yes No |
PLEASE NOTE, HOWEVER, THAT BEFORE MAKING AN OFFER OF EMPLOYMENT FAO IS REQUIRED TO CONTACT BOTH YOUR PRESENTAND PREVIOUS EMPLOYERS. |
I certify that the statements made by me are true, complete and correct to the best of my knowledge and belief. I understand that any false statements or any required information that is withheld from this form may provide grounds for the withdrawal of any offer of appointment or dismissal if an appoint has been accepted. |
Date       | Signature |
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