INTERNATIONAL ORGANIZATION FOR MIGRATION

17, Route des Morillons

P.O. Box 71

If you are applying for a specific Vacancy Notice, please quote relevant position title and vacancy number: Applications must be filed in one of IOM's official languages (English, French or Spanish). Applications in other languages may be rejected. Make sure you complete all four pages of the personal history form.

CH - 1211 GENEVA 19

ATTACH PHOTOGRAPH HERE

SWITZERLAND

PERSONAL

HISTORY

1. A) Surname

First Name

Middle Name

Maiden Name, if any

B) List any other names used

2. A) Permanent Address

B) Telephone No.

3. A) Present Residence (Specify City, Province or State, Country)

B) Since (date)

Until (anticipated date)

C) Telephone No.

D) E-mail address (1)

E) E-mail address (2), if applicable

4. A) Place of Birth

B) Date of Birth

C) Citizenship at Birth

D) Present Citizenship

(If Swiss, canton and origin)

E) Passport or Identity Card No.

Date of Issue/Date of Expiry

Place of Issue (in full)

5. Sex (Check)

6. Marital Status (Check)

Male |__|

Female |__|

Single |___|

Married |__|

Widow(er) |__|

Divorced |__|

Separated |__|

7. Have you any depedents?

Yes |___|

No |___|

If answer is "Yes" give following information:

Name

Age

Relationship

Name

Age

Relationship

8. LANGUAGES (List mother tongue first)

Language

READ

WRITE

SPEAK

Excellent

Good

Poor

Excellent

Good

Poor

Excellent

Good

Poor

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