UNITED NATIONS INSTITUTE

FOR TRAINING AND RESEARCH

Hiroshima Office for Asia and the Pacific (HOAP)

TrainingWorkshop on Ecosystem, Water and Biodiversity

Kushiro, Japan, 27-31August 2006

APPLICATION FORM

INSTRUCTIONS

Application forms, with a scanned copy of any signed pages, should be submitted to UNITAR at by email attachment. In exceptional cases, faxed or mailed copies will also be accepted (see page 3). Applications can also be made via the online form availableatour website regarding the modalities of the workshop should be sent directly to the UNITAR Hiroshima Office.

I. LETTER OF NOMINATION

(please type or print)

The Government / Institution of
Nominates (name)
to participate in the above workshop, and certifies that:
a) / all information supplied by the nominee is complete and correct;
b) / the nominee has adequate knowledge, appropriately tested, of the working language of the Training Workshop (i.e. English);
c) / the absence of the nominee during his/her participation to the Training Workshop, including a travel abroad (26August to 1September 2006) would not have any adverse effect on his/her status, seniority, salary, pension and similar rights;
d) / the nominee enjoys the status of the representative of his/her country and as such will behave in accordance with the law, rules and regulations of the host country.
Place and Date / Name and Title of Responsible Government/Institution Official
Signature

UNITED NATIONS INSTITUTE

FOR TRAINING AND RESEARCH

Hiroshima Office for Asia and the Pacific (HOAP)

TrainingWorkshop on Ecosystem, Water and Biodiversity

Kushiro, Japan, 27-31August 2006

II. PERSONAL INFORMATION

(please type or print)

Surname (Family name):
First Name:
Date & Place of Birth: / Age:
Nationality: / Sex: / Male / Female
Passport No.: / Place of Issue:
Passport Date of Issue: / Passport Expiry Date:
Home Address:
Home Telephone No.:
Home Fax No:
Home E-mail Address:
Portable (cell) phone No:
Ministry/Organisation:
Current Professional Position:
Work Address:
Work Telephone No.:
Work Fax No.:
Work E-mail Address:

UNITED NATIONS INSTITUTE

FOR TRAINING AND RESEARCH

Hiroshima Office for Asia and the Pacific (HOAP)

TrainingWorkshop on Ecosystem, Water and Biodiversity

Kushiro, Japan, 27-31August 2006

A. English Language Skills: circle one for each question
a) Ability to understand:
Excellent / Good / Fair / Poor
b) Ability to speak fluently:
Excellent / Good / Fair / Poor
c) Ability to read
Excellent / Good / Fair / Poor
d) Ability to write:
Excellent / Good / Fair / Poor
Please attach any document which certifies your English language skills. UNITAR may conduct an English test if necessary.
B. Please attach:
1. A personal history (Curriculum Vitae);
2. A short paper as per the attached “Instructions for the short paper”;
3. Two (2) official letters of recommendation. These should be from two people, preferably from different organisations, who know you in a professional capacity.
Applications without the above attachments will not be examined.
C. Send your application, preferably by email attachment, to:
UNITAR Hiroshima Office for Asia and the Pacific

Hiroshima Chamber of Commerce and Industry Bldg.
5-44 Motomachi, Naka-ku, Hiroshima 730-0011 Japan
Tel: +81 82 511 2424; Fax: +81 82 211 0511
Further information as well as an online form is available on the UNITAR HOAP website:

Application deadline: 15June 2006

No application will be examined after the closing date

*Candidates may be requested to submit additional information during the selection process.