Segmentation bancaire

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  • Publié le : 27 juillet 2010
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| |UNITED [pic]NATIONS | Do not write in this Space |
|INSTRUCTIONS | | |
|Please answer each question clearly and |PERSONAL HISTORY| |
|completely, Type or print in ink. Read | | |
|carefully and follow all directions | |Please attach a photo|
|1. Family name       |First name       |Other names       |Maiden name       |
|2. Date of |Day |Mo. |Yr. |3. Place of birth |4. Nationality at birth |5. Present nationality |6. Sex |
|birth |      |      |      |     |      |      |      |
|7. Height |8. Weight |9. Marital status: |
|      |      ||
| | | Single |Married |Separated |Widow(er) |Divorced |
|10. Entry into United Nations service might entail assignment and travel to any area of the world in which the United Nations might have responsibilities. |
|Have you any disabilitieswhich might limit your prospective field of work or your ability to engage in air travel? |
|YES NO |If "yes", please describe.       |
|11. Permanent address |12. Present address|13. Office Telephone No. |
|      |      |      |
| Telephone No.       | Telephone No.       |14. FAX No. if available |
|| |      |
| | | |
|15. Have you any dependants?|
|YES NO If the answer is "yes", give the following information: |
|NAME |Age |Relationship |NAME |Age |Relationship|
|      |      |      |      |      |      |
|      |      |      |      |      |      |
|      |      |     ...
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