No.

Status:

Civilian Human Resources Management Office use only Received on.

Application for Civilian Employment Head0uarters nternational #ecurity Assistance ,orce

1AB23 A,GHA" #$A"

Civilian 'ersonnel Office

E4mail:

/acancies5h0!isaf!nato!int
"#ER$ RECE"$ %E"$ $& 'HO$OGRA'H

Before completing: read and comply with instructions as laid down in General nformation for Applicants! To be completed in English. Please type, or print in block letters. I more space is re!uired, continue on plain paper and repeat item numbers "see item #$%.

(passport si)e* &. Name and Re erence Number o the vacancy you are applying or: #. a. Surname: ).a. Permanent address: #.b. 'irst name"s%: ).b. (ailing address "i di erent rom ).a.% #.c. (aiden name "i applicable%: *. Telephone contacts: +ome: ,ork: 'a-: Email:

..b. 0ate o birth "dd mmm yy%: ..d. Status: (arried Single 2ther "e-plain% $.a. /iti1enship at birth: $.b. /iti1enship no3 "i di erent rom $.a., e-plain%.

..a. /ountry and place o birth: ..c. Se(ale 'emale

4. Please give the ollo3ing in ormation about spouse and children: 0ate o birth "dd mmm yy%

Name

Relationship

+
ACE ,ORM (R* +-. #A, nO/ ++ (English*

5.a. Secondary Education

( copies of diplomas / certificates * will be requested if you are called for interview %

Name, Place and /ountry 5.b. 'urther

6ears and (onths o attendance

Type o School

'rom

To

7uali ications obtained "e.g. certi icate"s%, diploma"s%% indicating main sub8ects

( copies of diplomas / certificates * will be requested if you are called for interview %

Name, Place and /ountry

6ears and (onths o attendance

Type o School

'rom

To

7uali ications obtained "e.g. certi icate"s%, diploma"s%% indicating main sub8ects

9.a. :ist pro essional societies to 3hich you belong: 9.b. :ist, but do not attach, any signi icant publications you have 3ritten:

&;. :anguages: describe pro iciency belo3, by ticking the appropriate bo-. Please start 3ith your mother tongue. Speaking :anguage <ery =ood =ood 'air <ery =ood Reading =ood 'air <ery =ood ,riting =ood 'air

English

'rench

2ther

&&. Shorthand and typing: indicate speed in 3ords per minute

Typing: Shorthand:

&#. Indicate your computer skills (copies of diplomas / certificates * will be requested if you are called for interview * +ard3are: >pplication So t3are: /omputer :anguages:

6
ACE ,ORM (R* +-. #A, nO/ ++ (English*

&). &*.

Type"s% o driving licence +ave you completed your compulsory military service ? I yes, indicate dates: 'rom I no, give reason: No

Not >pplicable To No 6es Rank:

0o you have urther service commitments ? &..

6es, please give details

E(P:26(ENT RE/2R0
Starting 3ith your present post, list in reverse order, details o present @ previous employment. Ase a separate block or each post. Include also service in the armed orces and note any period during 3hich you 3ere not gain ully employed. I re!uired, attach additional pages in the same ormat. I employed as a N>T2 /ivilian, or 3ithin one o the coBordinated organisations, indicate "last% grade and step.

>%.

PRESENT E(P:26(ENT
0ates o employment Since Starting Tel. no. Title o your position Type o business Number o employees under your direct supervision Present

Net salary per annum "State /urrency% Name and address o employer

Name and position o your supervisor Reason or 3ishing to leave your present employment Summary o your 3ork:

7
ACE ,ORM (R* +-. #A, nO/ ++ (English*

C%.

PRE<I2AS E(P:26(ENT
0ates o employment 'rom Starting To Tel. no. Title o your position Name and position o your Reason or leaving your employment Summary o your 3ork: Type o business Number o employees under your direct supervision 'inal

Net salary per annum "State /urrency% Name and address o employer

/%.

PRE<I2AS E(P:26(ENT
0ates o employment 'rom Starting To Tel. no. Title o your position Name and position o your Reason or leaving your employment Summary o your 3ork: Type o business Number o employees under your direct supervision 'inal

Net salary per annum "State /urrency% Name and address o employer

8
ACE ,ORM (R* +-. #A, nO/ ++ (English*

0%.

PRE<I2AS E(P:26(ENT
0ates o employment 'rom Starting To Tel. no. Title o your position Name and position o your Reason or leaving your employment Summary o your 3ork: Type o business Number o employees under your direct supervision 'inal

Net salary per annum "State /urrency% Name and address o employer

&$. :ist periods o residence a3ay rom home country, e-cluding holiday trips. /ountry Reason

0ates " 'rom B To %

&4. +ave you ever been convicted o an o ence other than minor tra ic violations ? No &9.a. ,ould you ob8ect i 3e contact your present employer ? &9.b. ,ould you ob8ect i 3e contact your previous employer"s% ? 6es 6es No No 6es, nature o o ence"s% &5. ,hat is your present state o health ? Indicate any physical disabilities or chronic illness"es%.

#;. Re erences : :ist three persons not related to you by blood or marriage, 3ho are amiliar 3ith your character and !uali ications. 0o not repeat supervisor"s% given in item &.. Name

'ull address

Telephone

Pro ession @ Relationship

9
ACE ,ORM (R* +-. #A, nO/ ++ (English*

#&. State brie ly any special !uali ication not covered earlier, any activities or other signi icant eatures 3hich may help in support o your application.

##. >re you 3illing to accept a post re!uiring travel ?

6es, re!uently

6es, occasionally

No

#). +o3 long is the notice period you 3ould re!uire be ore you could start employment ? #*. >re you related by blood or marriage to someone 3ho 3orks at the organisation to 3hich you are applying ? I yes, please list name"s%, and relationship"s% Name 6es 6es No No 6es Relationship No

#.. 0o you agree to the organisation considering this application or other suitable vacancies 3hich may arise 3ithin a period o &# months ? #$. 0id you use additional sheets to this application orm ? I yes, ho3 many ? #4. ,here did you hear about this vacancy?

DI am 3illing to undergo the prescribed medical e-amination prior to any appointment and have no ob8ection to an investigation being conducted by the competent authorities o the state o 3hich I am a member or the issue o a security clearance.E DI realise that any alse statement or omission even i unintended on my part, may lead to the cancellation o my application or may render my appointment liable to termination.E

(#ignature*

(%ate*

ACE ,ORM (R* +-. #A, nO/ ++ (English*

,ull "ame: 'O#$ Applied for:

E%2CA$ O" : $RA " "G RECOR% Please list belo3 all relevant education @ training @ courses, etc., that you have attended "also include in ormation provided under paragraphs 5a and 5b o the application orm% and you may use e-tra pages i necessary. Name@Title o Education@Training (ain sub8ect"s% 'rom 0uration To 'ullBtime@PartBtime /ourse 7uali ications 2btained

4 4 4 4 4 4 4 4 4

realise that any false statement or omission; even if unintended on my part; may lead to the cancellation of my application or may render my appointment lia<le to termination! #igned======================!!

ACE ,ORM (R* +-. #A, Mar ++ (English*