Web Application Form

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Scientific Programmer

East African Institute for Fundamental Research (ICTP-EAIFR)

Fields marked with * are compulsory All telephone numbers should include the country code (e.g. +39 for Italy)
Please complete form, avoiding to write text in all capital letters, once completed please press button "Submit" at the bottom of the page.

Please note that English is the working language of ICTP

1. Personal Information

Title*
(eg. Mr/Ms/Dr/Prof)		 Name *
(eg. John)		 Surname
(Family Name - eg. Smith)*
Maiden Name Present Nationality*  
Sex* Marital Status Second Nationality (if any)

Date

of

birth*

day:

month:

year:

Nationality at birth
E-mail address(es)*

1)

2)

Country and place of birth

   Have you taken any legal steps towards changing your present nationality?  

Mailing Address*


City*
ZIP* Country*

Phone*

Mobile/Cellular

Fax



Permanent Address*


Phone*
City* ZIP* Country

2. Give the following information about persons fully dependent upon you for financial support.

Name of dependant

Date of birth

Relationship

Name of dependant

Date of birth

Relationship
1) 4)
2) 5)
3) 6)

3. List any of your relatives employed by the United Nations or its specialized Agencies.

 Name

 Relationship

Name of International Organization

 

 
  

 

 
  

4. Would you accept employment for:

Up to 6 months

yes

no
6 months to 1 year
more than 1 year

5. Would you object to serving in any region of the world? If so, indicate which and why.
 

6. How much notice would you require to report for work? *

7. If employed, you will be required to pass a medical examination. Have you any disabilities which might limit your prospective field of work or preclude you undertaking any necessary travel by air?
 

8. The post you wish to apply to is:

Where did you see the advertisement? *

9. List in chronological order the educational institutes you have attended from the age of 14, including service training sessions, having lead to the granting of a diploma.

Name of school, place and country

Major and specialization

Year of beginning

Year of graduation

10. University Studies or equivalent:

Name of University

Degrees and specialization

Year of beginning

Year of graduation
       
       
       

11. List professional societies to which you belong and your activities in public or international affairs.

12. List significant publications, including publisher and date of publication:

13. Foreign language skills:
Mother Tongue:    

English

Italian

Other language (1)

Other language (2)

 Other language (3)

Writing

 

 

Speech

 

 

Reading

 

 
 Understanding    

 

 

 

 

14. Clerical skills: indicate speed in words per minute, after verification on non-commercial texts.

 Languages

 Shorthand

 Typing
 English

 

 
 Other language

 

 

15. Office automation: list any information equipment and software you can use.

16. Record of employment: starting with your present position, list in reverse order every employment during at least the past ten years.

(from-till)

Name and full address of the company

Position, title

Yearly Income (EURO)

Description of your duties (main tasks), include number and type of subordinates and if part-time

Reason for changing

 

 

 

 



17. If applicable, give here a brief resumee of employment(s) held before those covered above:

18. Please indicate three referees not related to you by blood or marriage,
who are familiar with your character and qualifications:
 

Name of referees

Full Address

Quick contact refs

 Profession
 1

E-mail:

Ph:

 2  

E-mail:

Ph:

 3

E-mail:

Ph:

19. Have you any objection to our making enquiries with your present employer? *

20. State briefly any other relevant facts. Include information regarding any residence outside the country of which you are a citizen:

21. Reasons and specific motivations for applying:

22. I certify that my statements above are true and complete. I understand that intentional incorrect information renders me liable to dismissal, if employed.