HR Appendix 19 E

Annex II
Volunteer Programme - Application form

UNESCO Volunteer Programme

Application Form

1. Family Name: Given Names:

2. Sex: ❑ Male ❑ Female 3. Date of Birth 4. Place of Birth:
(Day/month/year):
5. Present Nationality: District: Dhanusha
2004/03/30 VDC : Satoshar
Nepali Ward no : 5

6. Permanent Address: 7. Present Address:

District : Dhanusha Subidhanagar-32, Kathmandu
Municipality : Sabaila Bagmati Province
Ward no : 9

Tel.: +9779819622987 Tel: +9779819622987

E-mail: abhishekray.edu@gmail.com E-mail: abhishekray.edu@gmail.com

8. In case of emergency, notify:
Name: Satyanarayan Ray
Tel: +9779857061608

Name: Bimala Mandal

Tel: +9779804823308

9. Education (College/University)
Institution Attended Degrees
Name, Place from/to Obtained
Major Subjects of
and Country
Study
Kathmandu Model Mo./Yr Mo./Yr
Secondary School,
Bagbazar,
Kathmandu, Nepal July-2019 October- NEB +2 (Science Stream)
2021
 Siddhartha April-2010 April-2019 (Computer as optional)
Shishu Sadan SEE
Boarding School,
Janakpur, Nepal

10. Professional experience: Please describe any previous working experience. Use an
additional sheet if necessary.

I used to work as a content creator for ‘Simplified Science’ page.

Currently, I am content writer for physics4earth.blogspot.com
where I write and share posts on how we can use physics to
save our earth. I am competent at using DSLR camera and
photoshop tools. I am also an active member of “Photographers
in Nepal” group where I post professional looking photos and
videos shot by me. Filming and video-editing also happens to be
my passion.

11. Areas of competence: (please specify areas of competence(s) and specialization)

1. Excellent English (Spoken and Written)

2. Professional Photography and videography
3. Pro-level Photoshop and Video-Editing
4. Creative content writing
5. Team worker, co-operative and brilliant communicator
12. Languages:
Read Write Speak Understand
anguage Easily Not Easily Not Easily Not Easily Not Mother
easily easily easily easily tongue
nglish Yes Yes Yes
ench
abic
hinese

ussian
panish
her:
ease Yes Yes Yes
ecify)
Nepali
13. Please give a brief description of your motivation for applying, and how you feel you
may contribute to the work at UNESCO. Use an additional sheet if necessary (no more than
800 words).
Capturing moments is capturing stories. Through captured moments we can share
stories and influence people. For example, a meaningful story coverage on “How a
woman from a non-elite background started her own fashion clothing business” can
inspire other women to do the same level of work.
To collaborate and work with fellow purpose-driven volunteers and institutions in
shaping and influencing the society for better is exciting to me. UNESCO’s
engagement in protecting biodiversity and preserving culture is an inspiration for all.
Since I am taking a gap year from education, I have decided to give back to my
community and improve my skills during this time.
I advocate inclusion, culture, biodiversity and green earth. Photography and
Content-writing are my passions, so being a member of the UNESCO
communication unit will be a meaningful engagement for me. I will also get a chance
to improve my interpersonal skills, which will ultimately help in my personal growth.

14. Do you have any family members (father, mother, brother, sister, son, daughter,
spouse) who are employed by UNESCO? If yes, where?

No

15. Please indicate a place of assignment which you are interested in:
Kathmandu
16. Please indicate duration and period of time in which you will be available to volunteer:
(6 months maximum)

Number of weeks: Twenty-five

Possible starting date (dd/mm/year): 15/6/2022
Possible end date (dd/mm/year): 15/12/2022

17. Please indicate the preferred hours to volunteer:

(please choose one)

Full-time (37.5 hours per week at HQ) : Yes

Part-time (please specify the hours requested and why below):

18. Insurance:
I hereby confirm that I hold a health/ accident insurance policy:
- Company name:
- Policy number:
❑ Yes, this insurance is effective in the place of assignment
❑ No, this insurance is not effective in the place of assignment

19. References: List three persons, not related to you, who are familiar with your work
and qualifications.

Name 1: Mr. Nitesh Yadav

Business/occupation: Co-Founder, Physics4earth
Phone: 9827796096
E-mail: niyadav2058@gmail.com

Name 2: Mr. Prakash Thapa

Business/occupation: Academic coordinator at KMC, Bagbazar
Phone:
E-mail: Kmcbagbazar@gmail.com

Name 3: Mr. Ashwani Shah

Business/occupation: Student
Phone:
E-mail: ashwanishah407@gmail.com

20. Additional information

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)?
No
If yes, please give a brief explanation of each case and be prepare to provide additional
information if required.

21. 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. I understand that
any false statement or wilful misrepresentation renders me liable to dismissal, if
assigned as a volunteer.

………………………………………….. June 9, 2022

………………………………
Signature Date