1. Personal Information
2. Contact Details
* Current Home
Business
Address:
City:
Country:
Contact Telephone number:
Email:
3. Education
Start Year
End Year
Main Course of Study as stated on Certificate
Completion Level
Institution (name, City & Country)
Website Address
1.
2.
3
4
5
6
7
8
9
10
More/Less
4. List of honors in civic, public or international affairs and any professional licenses or certifications attained
Type
Name\Description\Title
Issuing Authority
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
More/Less
5. Employment Record
Current/Last Position
Employment Details
Contact details of Supervisor who can confirm employment
Annual gross salary (in U.S. Dollars)
May we contact this employer for references?
Previous Position
Employment Details
Contact details of Supervisor who can confirm employment
Annual gross salary (in U.S. Dollars)
May we contact this employer for references?
Previous Position
Employment Details
Contact details of Supervisor who can confirm employment
Annual gross salary (in U.S. Dollars)
May we contact this employer for references?
Previous Position
Employment Details
Contact details of Supervisor who can confirm employment
Annual gross salary (in U.S. Dollars)
May we contact this employer for references?
Previous Position
Employment Details
Contact details of Supervisor who can confirm employment
Annual gross salary (in U.S. Dollars)
May we contact this employer for references?
More/Less
6. International Working Experience
Have you ever lived/worked outside your home country on a long term basis (1 year or more)
Organization
Duty Station
Position Held
From
To
Grade
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
More/Less
7. Language Skills
Key
No Knowledge
Conversation, read and write simple material
Engage freely in discussions, read and write complex material
Engage in conversations, read complex materials (e.g., newspaper), and write routine correspondence
Language
Speaking
Reading
Writing
1.
2.
3.
4.
5.
More/Less
8. Computer Skills
Key
Limited Experience
regular use of software and ability to apply it to meet the requirements of the job.
advanced user; able to perform complex tasks.
able to design and programme software solutions
Computer Skill
Level of knowledge
Details
1.
2.
3.
4.
5.
6.
7.
8.
More/Less
9. Dependant Family
List full names of spouse/domestic partner and all children
Last name
First name
Nationality
Relationship
Birth Date
Gender
Country of Residence
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
More/Less
10. References
List at least three persons not related to you, whom we may contact immediately, have known you for at least two years, and are familiar with your character and qualifications. Do not list supervisors named in section 2, Employment History.
Full Name
Address
Contact No
Email
Business or Occupation
Relationship
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
More/Less
11. Miscellaneous
Have you taken up legal permanent residence status in any country other than that of your nationality?
Have you taken any legal steps towards changing your present nationality?
Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding or convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)?
If yes, give full particulars of each case in an attached statement.
Please indicate how you became acquainted with ACBF and our website.
12. Criminal History
Have you ever been arrested or convicted of a criminal offense (other than a traffic violation)?
If yes, please describe.
13. Optional Items (Attachments)
Document Title
Attachment
14. Declaration
I,
certify that the statements made by me on this Personal History Form are complete and true to the best of my knowledge and belief. I understand that any misrepresentation or material omission made or other document requested by ACBF may lead to disqualification for employment or disciplinary action in accordance with Staff Rules and Regulations