ࡱ> _ bjbj ybb~"( $P  <\j #$$$&|U,Y/:::::::$i=@P ;0{&^&00 ;$$a;9990pl$$:90:99%:[l,:$ q5M1|::;0 <:k@1k@:k@:@00900000 ; ;9^000 <0000k@000000000 :  INTERNATIONAL ATOMIC ENERGY AGENCY (IAEA) WAGRAMER STRASSE 5, PO Box 100, 1400 VIENNA (AUSTRIA) TELEPHONE (+43 1) 2600, FACSIMILE: (+43 1) 26007 E-MAIL: Official.Mail@iaea.org, TC WEB SITE: http://tc.iaea.org   PERSONAL HISTORY FOR ASSIGNMENT AS TECHNICAL COOPERATION EXPERT Note: This form cannot be used to apply for a scientific visit. INSTRUCTIONS Completion and Usage of the PHF This form should be completed accurately. Selection for a technical cooperation expert post depends on clearance by the requesting Government. Please note that unless an office address is indicated, the Agency will use your home address for all official purposes. Keep a copy of these forms for your own file, and as soon as there are significant changes to the information provided (change of address, additional education/experience, etc.), please notify the Agency accordingly. A PHF is normally valid for 2 years. The information provided should be as complete and detailed as possible. For example, description of your professional experience (PART B) should not be limited to general references to a position as "Professor", "Research Associate", "Technical Adviser", etc., without any further explanations; or to duties as "Research and Development" without stating the field of research or what was being developed. Emphasis in the completion of that part should be placed on the objectives and responsibilities of the position(s) you have been holding, any major accomplishments, and familiarity with any particular equipment/machinery, etc. Also, should you be filling in this form in connection with a specific expert assignment, the relevant qualifications and expertise required should be highlighted under Specializations in Part B. Extra pages may be added if required. Please do not submit any publications with the PHF, but attach a list thereof (listing the titles, publisher, year of publication). Whenever you are considered for a specific assignment, Part B of the PHF is forwarded -- on a confidential basis -- to the recipient Government for their concurrence on your candidature. The information provided in Part A is treated as confidential and not released to any person or organization outside the Agency.  INTERNATIONAL ATOMIC ENERGY AGENCY (IAEA) WAGRAMER STRASSE 5, PO Box 100, 1400 VIENNA (AUSTRIA) TELEPHONE (+43 1) 2600, FACSIMILE: (+43 1) 26007 E-MAIL: Official.Mail@iaea.org, TC WEB SITE: http://tc.iaea.org   PERSONAL HISTORY FOR ASSIGNMENT AS TECHNICAL COOPERATION EXPERT Note: This form cannot be used to apply for a scientific visit. A - ADMINISTRATIVE INFORMATIONIf known, give IAEA project code and title : FORMTEXT    /  FORMTEXT  /  FORMTEXT    Title:  FORMTEXT       Personal Data FORMCHECKBOX  Female  FORMCHECKBOX  MaleFamily name: FORMTEXT      Date of birth (yyyy-mm-dd): FORMTEXT      (as in Passport)Place of birth: FORMTEXT      First name: FORMTEXT      Nationality: FORMTEXT      RecentComplete mailing address (office):Telephone (office): FORMTEXT      photographInst. Name:  FORMTEXT      Fax: FORMTEXT       FORMTEXT      e-mail: FORMTEXT      Street:  FORMTEXT      Web Page:  FORMTEXT      P.O. Box:  FORMTEXT      Post Code:  FORMTEXT      Emergency Phone no.:  FORMTEXT      Town/City:  FORMTEXT      Region/District:  FORMTEXT      Airport/town nearest to residence:  FORMTEXT      Country:  FORMTEXT      Home Address (please indicate full address)Street:  FORMTEXT      Telephone (home): FORMTEXT      P.O. Box:  FORMTEXT      Post Code:  FORMTEXT      Fax: FORMTEXT      Town/City:  FORMTEXT      e-mail: FORMTEXT      Region/District:  FORMTEXT      Country:  FORMTEXT      Health (a medical examination may be required depending upon the length of appointment and age of the applicant) If you have a physical disability or medical condition which might limit your ability to perform an assignment under difficult conditions or travel by air, please indicate the limitations:  FORMTEXT      Radiation surveillance: Are you covered under a radiation surveillance programme in your country?  FORMCHECKBOX  yes  FORMCHECKBOX  no  FORMTEXT      I certify that the statements made by me in PART A of this form are true, complete and correct to the best of my knowledge and belief. I understand that I might be requested to provide documentary evidence in support of my statements. If necessary, I will obtain release from my employer. Date:  FORMTEXT       Signature:  FORMTEXT       INTERNATIONAL ATOMIC ENERGY AGENCY (IAEA) WAGRAMER STRASSE 5, PO Box 100, 1400 VIENNA (AUSTRIA) TELEPHONE (+43 1) 2600, FACSIMILE: (+43 1) 26007 E-MAIL: Official.Mail@iaea.org, TC WEB SITE: http://tc.iaea.org  PERSONAL HISTORY FOR ASSIGNMENT AS TECHNICAL COOPERATION EXPERT B - PROFESSIONAL INFORMATION Project No. (if known)  FORMTEXT      FORMTEXT    FORMTEXT    Name: Mr/Ms.  FORMTEXT      Nationality:  FORMTEXT      Date of birth:  FORMTEXT      Telephone No.  FORMTEXT      Fax No.:  FORMTEXT      e-mail:  FORMTEXT      Type and No. of national passport:  FORMTEXT      Place of issue:  FORMTEXT       Date of issue:  FORMTEXT      Validity  FORMTEXT      Father s full name:  FORMTEXT      Mother s full name:  FORMTEXT       KNOWLEDGE OF LANGUAGESReadWriteSpeakUnderstandMother tongue:  FORMTEXT       Other languagesEasilyNot easilyEasilyNot EasilyEasilyNot EasilyEasilyNot Easily FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      -+ , m n o { | }  RȽӴȽhpuTCJOJQJjhpuTUmHnHuj hpuTUhpuTCJOJQJhpuTB*phhpuT5OJQJhpuT5CJOJQJhpuT5CJOJQJ hpuTCJh5CJOJQJhpuT5CJOJQJ hpuT5jhpuTUhpuT1-c, l m Xkdw$$IflFB&*B!~    4 lal $$Ifa$ $$Ifa$$Ifm n o | } ~  2 3 }s & F$If dh$If$If5kd@$$Ifl5&5&  L4 lal5kd$$Ifl5&5&   L4 lal $$Ifa$ : $$Ifa$5kd$$Ifl5&5&   L4 lal$If & F$If & Fh$If^h`:nXkd$$IflF$*M     4 la $$Ifa$$If $$Ifa$ rh $If`Hkd$$Ifl0&   ! 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E/Rev. 5 (Mar. 01); Old forms (P-2/TCPH-A/E/Rev. 4 (nov 97) and P-2/TCPH-B/E/Rev. 3 (nov 97)) should be discarded and not used. 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