UNHCR Application Form

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* Indicates field is required

Personal History Form (P11)

* Family Name: asfaw First Name(s): asfaw

fantaye fantaye
Middle Name: Maiden Name:
Personal Information

11/01/1964 Male
* Date of Birth: * Gender:
addisababa
Married * Birth City:
* Marital Status
251921353793
ETH * Telephone:
Ethiopia
* Birth Country:
asfaw w endra
C - BA / BS / LLB / Engineer * Email ID:
* Highest Education Level:
Permanent Address Nationality at Birth
* Nationality Description
ETH Ethiopia
ETH
* Country:
Ethiopia
Current Nationality
* Address:   * Nationality Description
Edit Address ETH Ethiopia

Country of Permanent Residency

Country Description
ETH Ethiopia

Current Contact Address

ETH
* Country:
 Ethiopia

* Address:  
Edit Address

Language Competencies
* Mother Listening Speaking Reading Writing
  * Language   Self
Tongue Proficiency Proficiency Proficiency Proficiency

1 AMH Amharic        
 

Click here for Language Proficiency Levels

Language Certificates Customize | Find |   |          First   1 of
  Certificate Language   Level Score Date Received

1  

University Education or Equivalent

From Date: 10/09/2008

To Date: 20/08/2011

School Name: Alkan Unive

Degree: BS

Degree Title: Bachelor o

(per transcript)
Major: public healt
(in Original
Language)
20/09/2011
Date Issued:
Graduated
Address of Educational Institution

ETH
Country:
Ethiopia
 Address:  
Edit Address

From Date: 10/09/1998

To Date: 27/08/2003

School Name: AAU

Degree: BA

Degree Title: Bachelor o

(per transcript)
Major: Educationa
(in Original
Language)
20/09/2003
Date Issued:
Graduated
Address of Educational Institution

ETH
Country:
Ethiopia

Address:  
Edit Address

Secondary Education (eg High School, Technical School, etc)

ETH
* Country:
 Ethiopia

 
State:

* School
Name: 23/04/2016
Date
Acquired:
Certificate or
Diploma:
Completed

Training and Other Courses

Course Title School Name Start Date Completion Date    
Educational admin Addis Ababa Univ 10/09/1998 27/08/2003

Work Experience

23/04/2016
* Start Date:

Employment Ongoing
* End Date:
Mariestope
* Employer:
251115509
Telephone:
Work Address

ETH
* Country:
Ethiopia

* Address:  
Edit Address
 Health
Type of
Business: Program Of
* Job Title:
Full-Time
* Employment
Type: 999999999 ETB Month
Ending Pay Rate: Pay Frequency:
Dr Tsedeke
* Supervisor
Name: tsedhim@y
* Supervisor Email
Address: 5
Number of Employees
Supervised:
SF Officers
Type of Employees
Supervised:

* Description of
Duties:

to add valu
* Reason for Leaving (or confirm employment
ongoing):

Personal References

In order to submit your application 3 personal references must be entered who are not related to you, and who are
familiar with your character and qualifications. These should not include your present or former supervisor(s).

D Kassahu
* Full Name:
Dr
Title:
Medical Do
Occupation:
251911406
Telephone:
 Email Address: kassahunm

Reference Address

ETH
* Country:
Ethiopia

* Address:  
Edit Address

In order to submit your application 3 personal references must be entered who are not related to you, and who are
familiar with your character and qualifications. These should not include your present or former supervisor(s).

Girma Azen
* Full Name:
ATO
Title:
Health
Occupation:
251911641
Telephone:
girmalem20
Email Address:
Reference Address

ETH
* Country:
Ethiopia

* Address:  
Edit Address

In order to submit your application 3 personal references must be entered who are not related to you, and who are
familiar with your character and qualifications. These should not include your present or former supervisor(s).

Misiker Asf
* Full Name:
 Engineer
Title:
Civil Engee
Occupation:
251911647
Telephone:
nci4evernc
Email Address:
Reference Address

ETH
* Country:
Ethiopia

* Address:  
Edit Address

Miscellaneous Information

List professional societies and activities in civic, public or international affairs, any significant publications you have
written, or any other relevant facts. Include information regarding any residence outside the country of your
nationality.

Further Information

Have you any objections to our making inquiries with your present employer?

Yes No

Are you now, or have you ever been, a permanent civil servant in your government`s employ? If the answer is
yes, please provide the from and to dates below.
 Yes No
21/08/1981
From Date:
25/12/1990
To Date:

Have you ever been arrested, indicted or summoned in court as a defendant in a criminal proceeding, or
convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)? If the answer is yes,
please provide details below.

Yes No

Have you ever been the subject of an investigation into allegations of misconduct?

Yes No

Have you ever been subject to disciplinary proceedings or measures?

Yes No

Would you accept employment for less than six months?

Yes No

Entry in United Nations service might require assignment to any area of the world in which United Nations might
have responsibilities. Are there any limitations on your ability to engage in your prospective field of work? If yes,
please add details below

Yes No
Entry in United Nations service might require assignment to any area of the world in which the United Nations
might have responsibilities. Are there any limitations on your ability to engage in all travel? If the answer is yes,
please add details below.

Yes No

Do you have a dependant spouse or any dependant children? If yes, please provide below the names, dates of
birth and the relationships.

Yes No
  Name Relationship    

1 slenat asfaw daughter

2 meseret aboye spouse

3 misiker asfaw son

Have you taken up legal permanent residence status in any country other than that of your nationality? If the
answer is yes, please select the country below.

Yes No

Country
:  

Have you taken any legal steps towards changing your present nationality? If the answer is yes, please add
 details below.

Yes No

Are any of your relatives, or is your spouse employed by a UN organisation or Specialized Agency? If the answer
is yes, please indicate Name, Relationship and Name of International Organization.

Yes No

Have you previously been employed by the United Nations? If the answer is yes, please add details below.

Yes No