PERSONAL HISTORY FORM FOR SECONDMENT PROGRAMME 2025-2026 Please note that this form is the first step of your application. Your application will not be completed, and therefore will not be considered, until your government has emailed directly to the ACWL its nomination letter together with a copy of your CV. Question Title * 1. Personal details Family name First name Other names Maiden Name Date of birth (D/M/Y) Country of birth Nationality/ies at birth Present nationality/ies Question Title * 2. Current positionAre you a full-time government official? Yes No If "no", please explain your employment status with the government Question Title * 3. Please upload a recent picture PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload a recent picture Question Title * 4. Permanent address Telephone: Fax: Email: Question Title * 5. Present address Telephone: Fax: Email: Question Title * 6. Contact details Telephone no. during working hours: Fax: Email: Question Title * 7. Have you taken up legal residence status in any country other than that of your nationality? Yes No If "yes", in which country? Question Title * 8. Have you taken any legal steps towards changing your present nationality? Yes No If "yes", explain fully: Question Title * 9. Have you any dependents? Yes No Question Title * 10. If "yes", give the following information: Name Age Relationship Question Title * 11. If "yes", give the following information: Name Age Relationship Question Title * 12. If "yes", give the following information: Name Age Relationship Question Title * 13. If "yes", give the following information: Name Age Relationship Question Title * 14. KNOWLEDGE OF LANGUAGES. Indicate your first language; if not the same, indicate also mother tongue: Easily Not easily Read Read Easily Read Not easily Write Write Easily Write Not easily Speak Speak Easily Speak Not easily Understand Understand Easily Understand Not easily Please specify the language Question Title * 15. KNOWLEDGE OF LANGUAGES. Indicate your first language; if not the same, indicate also mother tongue: Easily Not easily Read Read Easily Read Not easily Write Write Easily Write Not easily Speak Speak Easily Speak Not easily Understand Understand Easily Understand Not easily Please specify the language Question Title * 16. KNOWLEDGE OF LANGUAGES. Indicate your first language; if not the same, indicate also mother tongue: Easily Not easily Read Read Easily Read Not easily Write Write Easily Write Not easily Speak Speak Easily Speak Not easily Understand Understand Easily Understand Not easily Please specify the language Question Title * 17. KNOWLEDGE OF LANGUAGES. Indicate your first language; if not the same, indicate also mother tongue: Easily Not easily Read Read Easily Read Not easily Write Write Easily Write Not easily Speak Speak Easily Speak Not easily Understand Understand Easily Understand Not easily Please specify the language Question Title * 18. COMPUTER SKILLS. Knowledge of different software packages None Basic Good Excellent Microsoft Word Microsoft Word None Microsoft Word Basic Microsoft Word Good Microsoft Word Excellent Microsoft Excel Microsoft Excel None Microsoft Excel Basic Microsoft Excel Good Microsoft Excel Excellent Microsoft Power Point Microsoft Power Point None Microsoft Power Point Basic Microsoft Power Point Good Microsoft Power Point Excellent Sharepoint Sharepoint None Sharepoint Basic Sharepoint Good Sharepoint Excellent Others (please specify) Others (please specify) None Others (please specify) Basic Others (please specify) Good Others (please specify) Excellent Please specify the others Question Title * 19. EDUCATION. Institution: Name, place and country Years attended: (from-to) Certificates, diplomas, degrees and academic distinctions obtained Main course of study Question Title * 20. EDUCATION (2). Institution: Name, place and country Years attended: (from-to) Certificates, diplomas, degrees and academic distinctions obtained Main course of study N.B. Please give exact name of institutions and titles of degrees in original language starting with the most recent. Please do not translate or equate to other degrees. Exclude primary/secondary school if you have a university degree or equivalent. Question Title * 21. EDUCATION (3) Institution: Name, place and country Years attended: (from-to) Certificates, diplomas, degrees and academic distinctions obtained Main course of study Question Title * 22. EDUCATION (4). Institution: Name, place and country Years attended: (from-to) Certificates, diplomas, degrees and academic distinctions obtained Main course of study Question Title * 23. List any significant publications you have written (do not attach): Question Title * 24. EMPLOYMENT RECORD. Starting with your present post, list in reverse order every employment you have had. Use a separate response for each post. Include also service in the armed forces and note any period during which you were not gainfully employed. From Month/Year To Month/Year Salary per annum Starting Final Exact title of your post: Name of employer: Type of activity: Address and telephone of employer: Name of supervisor: Number and kind of employees supervised by you: Description of your duties: Question Title * 25. EMPLOYMENT RECORD (2) From Month/Year To Month/Year Salary per annum Starting Final Exact title of your post: Name of employer: Type of activity: Address and telephone of employer: Name of supervisor: Number and kind of employees supervised by you: Description of your duties: Question Title * 26. EMPLOYMENT RECORD (3) From Month/Year To Month/Year Salary per annum Starting Final Exact title of your post: Name of employer: Type of activity: Address and telephone of employer: Name of supervisor: Number and kind of employees supervised by you: Description of your duties: Question Title * 27. EMPLOYMENT RECORD (4) From Month/Year To Month/Year Salary per annum Starting Final Exact title of your post: Name of employer: Type of activity: Address and telephone of employer: Name of supervisor: Number and kind of employees supervised by you: Description of your duties: Question Title * 28. Have you any objections to our making inquiries of your present employer? Yes No Question Title * 29. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications. Do not repeat names of supervisors previously listed. Person 1 Full Name Person 1 Full Address Person 1 Occupation Person 2 Full Name Person 2 Full Address Person 2 Occupation Person 3 Full Name Person 3 Full Address Person 3 Occupation Question Title * 30. State any other relevant facts, including membership in professional societies. Include information regarding any residence outside the country of your nationality. Question Title * 31. Please provide a personal statement of between 100-350 words explaining why you feel you would be a good candidate for the Secondment Programme. Explain how you think (a) you and (b) your government would benefit from your participation in the Programme. You may provide this statement on a separate sheet. Question Title * 32. Alternatively, you may upload your personal statement PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Alternatively, you may upload your personal statement Question Title * 33. Appointment is subject to a satisfactory medical examination and might entail travel to any area of the world. Have you any disabilities which might limit your work or your ability to engage in air travel? Yes No Explain: Question Title * 34. Have you ever been arrested, indicted, or summoned into a court as a defendant in a criminal proceeding, or convicted, fined or imprisoned for the violation of any law (excluding minor traffic violations)? Yes No If "yes", give full particulars of each case in an attached statement. N.B. You will be requested to supply documentary evidence which supports the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so by the ACWL and, in any event, do not submit the original texts of references or testimonials unless they have been obtained for the sole use of the ACWL. Done