UNITED NATIONS DEVELOPMENT PROGRAMME

Personal History Form

INSTRUCTIONS: Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions. If you need more space, attach additional pages of the same size. 1. Family name (surname) Pramudita 4. Date of Birth day month year 25 04 1989 5. Place of birth Bandung 2. First names Irmanda 6. Nationality at birth Indonesian 3. Maiden name, if applicable 7. List all your current nationality(ies) Indonesian 8. Gender Male Female

9. Marital status Single Married Separated Widow(er) Divorced 10. Entry into United Nations service might require assignment and travel to any area of the world in which the United Nations might have responsibilities. Have you any disabilities which might limit your prospective field of work or your ability to engage in air travel? No Yes If "yes" please describe: 11. Permanent address 12. Present address if different from Vila bandung Indah Blok A.10 that indicated in box 11. No.11 Rt 004/005, Cileunyi Kabupaten Bandung 13. Office Telephone number Home/Mobile; 085720242321 / 02287828050 Work;

Telephone No. 02287828050

Telephone No. No

15. Have you any dependents? Yes Name Date of birth

14. Personal and/or professional e-mail address: maybe_later@rocketmail.com if the answer is Yes, give the following information: Name Date of birth Relationship

Relationship

16. Have you taken up legal permanent residence status in any country other than that of your nationality? No Yes if Yes, which country(ies)?

17. Have you taken any steps towards changing your present nationality? No Yes if Yes, explain fully:

18. Are any of your family members (spouse/partner, father,/mother, brother/sister, son/daughter) employed in the UN common system, including UNDP? Yes No if answer is "yes, give the following information: Name Relationship Name of Organization 19. Do you have any other (extended) family members in UNDP? No Yes if answer is "yes, give the following information: Name Relationship P11 - 19/06/09 1

 20. Would you accept employment for less than six months? Yes No 22. Languages mother tongue 1st Bahasa Indonesia

21. Have you been interviewed for any UNDP positions in the last 12 months? If so, for which post(s)? NO

Ability to operate in the listed language(s) in a work environment Understand none limited working knowledge proficient none limited working knowledge proficient none limited working knowledge proficient none limited working knowledge proficient none limited working knowledge proficient none limited working knowledge proficient none limited working knowledge proficient if Yes, date taken

Read Write Speak none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient English none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient none none none limited limited limited working knowledge working knowledge working knowledge proficient proficient proficient 23. For support General Service level posts only, indicate if you passed the following tests: ASAT Administrative Support Assessment Test (formerly known as clerical test): No UN Accounting Assistant Exam : No Yes No Yes if Yes, date taken Yes

24. EDUCATION: Give full details - NB Please give exact titles of degrees in original language A. List all institutions of learning attended since age 14 and diplomas/degrees or equivalent qualifications obtained (highest education first). Give the exact name of institution and title of degrees, diplomas, etc. (Please do not translate or equate to other degrees.) Attended From/To Certificates, diplomas Main course of study Name, place and country Mo/Year Mo. /Year or degrees and academic distinctions obtained SMPN 255 Jakarta Timur 2000 2003 Indonesia SMAN 24 Bandung Indonesia Universitas Pasundan Bandung Indonesia P11 - 19/06/09 2005 2006 2006 2010 S1 SOCIAL Hubungan Internasional 2

B. Post-qualification training courses / learning activities Name, place and country Type Attended From/To Mo/Year Mo. /Year LIA Buah Batu Bandung Conversation Course 2010 2011 Indonesia Lambert Consult Export - Import Course 2011

Certificates or Diplomas obtained Elementary

C. UN Language Proficiency Exams (if any) D. UNDP Certification Programmes (if any)

25. List membership of professional societies and activities in civic, public or international affairs (BEM) Badan Eksekutif Mahasiswa Periode 2007-2008 Fakultas Ilmu Sosial dan Ilmu Politik Universitas Pasundan Bandung Organisasi Sosial (BBC) Buah Batu Corps Keluarga Besar Periode 2009-2010 26. List any significant publications you have written (do not attach them) or any special recognition 27. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you have had. Use a separate block for each employment. Include also service in the armed forces and note any period during which you were not gainfully employed. If you need more space, attach additional pages of the same size. Provide gross and indicate denomination salary per annum for your last or present post. Have you already been issued a UN Index Number? No Yes If yes, please indicate this number: Are you a current or former UNV? Yes No If yes, please indicate roster number: A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT) FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: Month/Year Month/Year Starting (gross) Final UN Grade of your post (if applicable): (gross) Last UN step in your post (if applicable): NAME OF EMPLOYER: TYPE OF BUSINESS: -- EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. Of Supervisor: 3

ADDRESS OF EMPLOYER -- P11 - 19/06/09

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS --

B. PREVIOUS POSTS (IN REVERSE ORDER - I.E. MOST RECENT POSTS FIRST) FROM TO SALARIES PER ANNUM FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: Month/Year Month/Year Final UN Grade of your post (if applicable): (gross) Last UN step in your post (if applicable): NAME OF EMPLOYER TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Final (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

P11 - 19/06/09

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Final (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Final (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year dfg

TO Month/Year dfgdfg

SALARIES PER ANNUM Final (gross) dfgdfg

NAME OF EMPLOYER P11 - 19/06/09

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: dfgd UN Grade of your post (if applicable): dfgdfg Last UN step in your post (if applicable): dfg TYPE OF BUSINESS: 5

EMPLOYMENT TYPE: Full time: Part Time: (123%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER sdf

Number of Professional Staff Reason for Supervised: dfg leaving:sdf Number of Support Staff Supervised: dfg DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS sdf

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Final (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Starting Final (gross) (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series Permanent FTA SC 200 series Indefinite TA UNV ALD/300 series Continuing SSA Other

P11 - 19/06/09

ADDRESS OF EMPLOYER

NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Starting Final (gross) (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for leaving: Supervised: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

FROM Month/Year

TO Month/Year

SALARIES PER ANNUM Starting Final (gross) (gross)

NAME OF EMPLOYER

FUNCTIONAL TITLE: As specified in your Letter of Appointment/Contract: UN Grade of your post (if applicable): Last UN step in your post (if applicable): TYPE OF BUSINESS: EMPLOYMENT TYPE: Full time: Part Time: (%) Type of contract: 100 Series 200 series ALD/300 series Permanent Indefinite Continuing FTA TA SSA SC UNV Other NAME OF SUPERVISOR: Email Add. and/or Telephone No. of Supervisor:

ADDRESS OF EMPLOYER

Number of Professional Staff Reason for Supervised: leaving: Number of Support Staff Supervised: DESCRIPTION OF YOUR DUTIES AND RELATED ACCOMPLISHMENTS

P11 - 19/06/09

28. Have you any objections to our making inquiries of: (a) your present employer? No (b) previous employers? No Yes

Yes

29. Are you now, or have you ever been, a permanent civil servant employee in your government? No Yes If answer is "yes", WHEN? 30. References: list three persons not related to you who are familiar with your character and qualifications and who may be contacted for a reference FULL NAME FULL ADDRESS, including E-MAIL ADDRESS and TELEPHONE NUMBER BUSINESS OR OCCUPATION

31. State any other relevant facts in support of your application. Include information regarding any residence outside the country of your nationality 32. Have you ever been convicted, fined, or imprisoned for the violation of any law (excluding minor traffic violations)? No Yes If Yes give full particulars of each case in an attached statement 33. Have you ever been imposed disciplinary measures, including dismissal or separation from service, on the grounds of misconduct? No Yes If Yes give full particulars of each case in an attached statement 34. Have you ever been separated from service on the ground of unsatisfactory performance? No Yes If Yes give full particulars of each case in an attached statement

35. I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on the UNDP Personal History Form may lead to the termination of the appointment or to dismissal. I understand this also applies to any other information or document requested by the Organization for the purpose of my recruitment to and employment with UNDP. DATE: 12 November 2011 _________________________________________ SIGNATURE:

Note: You may be requested to provide documentary evidence of the statements you have made above. Do not, however, send any documentary evidence until you have been asked to do so and, in any event, do not submit the originals of any references, testimonials or certificates of academic achievement unless they have been obtained for the sole use of UNDP.

P11 - 19/06/09