Personal History  
  Form: Step 1  I  Step 2  I  Step 3
Personal History Form
 
INSTRUCTIONS:   Please answer each question clearly and completely. Read carefully and follow all directions. Pls. use tab key to move to next field. If you need more space, attach additional pages of the same size. Be sure to sign and date the form.
 
* Required fields
Personal:    
Family Name :    
First Name :    
Middle Name :    
Maiden Name :    
Present Residence :    (Specify City, District, State and Country)
Length of Present Residence :    
Telephone:    
Mailing Address :    
Date Of Birth :  
 Day, Month, Year
Present Nationality(ies) :     
E-Mail (if any) :     
Gender :     
Marital Status :    
 
Languagse Known:
 
YOU MAY BE TESTED IN THESE LANGUAGES     Read Write Speak For secretarial/clerical grades only     
(List mother tongue first)     
Excelent Good Fair Slight
Excelent Good Fair Slight
Excelent Good Fair Slight
Typing Shorthand
  
  
  
 
Please indicate the language for correspondence :   
  English Hindi Vernacular
 
 Language (Please Specify)
 
Professional:    
     Indicate your professional (working) fields of expertise from the following sectors and job titles
 
Accounting/Audit/Financial Management Food security/Food Aid Project analysis and evaluation
Agricultural finance/Credit/Investment Forestry Publishing/Media/Writing/Public Information
Agricultural Policy

Horticulture

Research and Development

Agriculture/Agronomy Human resources/Personnel Management Rural Development and Agrarian Reform
Agro-industries/Post Harvest Systems Legal Secretary/Stenographer/Clerical
Commodities and Trade Librarian/Document systems

 Sociology

Computer sciences/Information Systems Livestock/Veterinary

Soils Sciences and Land Management

Economics/Econometrics Management/Administration/Conference Statistics
Education/Extension/Training Marketing Translator/Interpreter/Verbatim Reporter
Engineering/Mechanization Medical Water Resource Management
Environmental Sciences Nutrition Women in Development
Farm Management/Farming Systems O&M/Institutions/Development Management Other (specify below)
Fisheries Plant Production and Protection    
     
For what kind of work do you wish to be considered :    
    If responding to a Vacancy Announcement, please quote the number :  
 Please submit one application for each Vacancy Announcement
Computer skills :  
  Excellent Good Fair Slight
 
 

Briefly indicate the computer packages that you normally use :  

 
  PLEASE NOTE THAT IN EVALUATING YOUR CANDIDATURE  SHARE India - ICHHA RESERVES THE RIGHT TO APPROACH YOUR PREVIOUS EMPLOYER(S) FOR REFERENCES. IT IS NOT OUR POLICY TO APPROACH YOUR PRESENT EMPLOYER AT THE EVALUATION STAGE UNLESS YOU EXPRESSLY AUTHORIZE THIS.

Have you any objections to our making inquiries of your present employer? :  

  Yes NO
 
 
 
  PLEASE NOTE, HOWEVER, THAT BEFORE MAKING AN OFFER OF EMPLOYMENT SHARE India - ICHHA IS REQUIRED TO CONTACT BOTH YOUR PRESENT AND PREVIOUS EMPLOYERS.
 
I certify that the statements made by me are true, complete and correct to the best of my knowledge and belief. I understand that any false statements or any required information that is withheld from this form may provide grounds for the withdrawal of any offer of appointment or dismissal if an appointment has been accepted.
 
 
Your application for employment, if found useful to our overall program, will be retained on our roster for a maximum period of 24 months