THE REGIONAL CENTRE ON AGRARIAN REFORM AND RURAL DEVELOPMENT
FOR THE NEAR EAST
CARDNE
P.O.BOX 851840 AMMAN 11185 JORDAN
PERSONAL HISTORY FORM
Please answer each question clearly and completely. Be sure to date the form.


please Send photograph to email

cardne@cardne.org

1. Family name

 

First name

Middle name

Maiden name

2. Present residence (specify city, province or state and country)

3. Length of present residence


5. Telephone

4. Mailing address

6. Fax (if any)

7. Place of birth

8. Date of birth
(day, month, year)

 9. Present nationality(ies)


10.E-mail (if any)


11. Sex
male female		 12. Marital Status
Single Married Divorced Widow(er)
13. Language
READ
WRITE
SPEAK
    
Excel-lent Good
Fair
 Excel-lent Good Fair Excel-lent Good Fair
Arabic
English
French

14. Please indicate the language for correspondence Arabic English French

15. Indicate your professional (working) fields of expertise from the following sectors and job titles
  

Rural development and agrarian reform
Agricultural policy
Women in development
Education/Extension/Training
Sociology
Project analysis and evaluation
Human resources/Personnel management
Publishing/Media/Writing/Public information Research and development
Food security/Food aid
Water resource management


Computer sciences/Information systems
Agricultural finance/Credit/Investment
Agriculture/Agronomy
Agro-industries/Post harvest systems
Economics/Econometrics
Farm management/Farming systems
Fisheries
Engineering/Mechanization
Environmental sciences
Forestry
Horticulture



Livestock/Veterinary
Marketing
Nutrition
O&M/Institutions/Deve-lopment management
Plant Production and protection
Soils sciences and land management
Statistics
Other (specify below)

16. Computer     skills     Excellent     Good     Fair     Slight

Briefly indicate the computer packages that you normally use

17. Education:
University or equivalent.
Name and place
Years attended
Degrees and academic
Distinctions obtained
Main subjects
From
To
 
18. EMPLOYMENT RECORD Starting with your present or most recent post, list in reverse order every employment during the last ten years and any significant experience not included in that period which you believe will be helpful in evaluating your record.
Dates
From     To

Name of supervisor

Name of employer

Address of employer Amman

Telephone
Fax (if any)
E-mail (if any)

Exact title of your post

Duty station

Type of business


Salary per annum
(Excluding allowances)

Net salary
=

DESCRIPTION OF YOUR WORK ( in brief )
Dates
From     To

Name of supervisor

Name of employer

Address of employer Amman

Telephone
Fax (if any)
E-mail (if any)

Exact title of your post

Duty station

Type of business


Salary per annum
(Excluding allowances)

Net salary
=

DESCRIPTION OF YOUR WORK ( in brief )
Dates
From     To

Name of supervisor

Name of employer

Address of employer Amman

Telephone
Fax (if any)
E-mail (if any)

Exact title of your post

Duty station

Type of business


Salary per annum
(Excluding allowances)

Net salary
=

DESCRIPTION OF YOUR WORK ( in brief )
Dates
From     To

Name of supervisor

Name of employer

Address of employer Amman

Telephone
Fax (if any)
E-mail (if any)

Exact title of your post

Duty station

Type of business


Salary per annum
(Excluding allowances)

Net salary
=

DESCRIPTION OF YOUR WORK ( in brief )


20. List any significant publications you have written.


21. Are you currently working for an international organization? Yes No

If answer is “Yes”, which organization?

 

22. Would you accept short-term employment? Yes No

If answer is “Yes”, indicate* 1 to 3 months 3 to 6 months 6 to 12 months

23. Are you under any obligation to return/stay in the service of your government or other public sector
Employer in recognition of sponsored training or education? Yes No