ࡱ>     {%bjbjBrBr7T  v08M,y  (555      $I!XDD55Y|555pȇbN o0!!!DDDnX!? : INSTRUCTIONS Please answer each question clearly and completely. Type or print in ink. Read carefully and follow all directions.Do not Write in this Space1. Family nameFirst nameOther namesMaiden name2. Date of birth3. Place of birth4. Nationality at birth5. Present nationality6. Sex7. Height8. Weight9. Marital statusSingle [ ]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 disabilities which might limit your prospective field of work or you ability to engage in air travel? YES [ ] NO [ ] If "yes", please describe.11. Permanent address12. Present address13. Permanent telephone no14. Present telephone no15. Have you any dependants? YES [ ] NO [ ] If the answer is "yes", give the following information:NAMEAgeRelationshipNAMEAgeRelationship16. Have you taken up legal permanent residence in any country other than that of your nationality ? YES [ ] NO [ ] If answer is "yes", which country ? 17. Have you taken any legal steps towards changing your nationality ? YES [ ] NO [ ] If answer is "yes", explain fully :18. Are any of your relatives employed by a public international organization ? YES [ ] NO [ ] If answer is "yes", give the following information ?NAMERelationshipName of international organization19. What is your preferred field of work ? 20. Would you accept employment for less than six months ? YES [ ] NO [ ]21. Have you previously submitted an application for employment with U.N. ? If so, when ?22. KNOWLEDGE OF LANGUAGES. What is your mother tongue ? READWRITESPEAKUNDERSTANDOTHER LANGUAGESEasilyNot easilyEasilyNot easilyFluentlyNot fluentlyEasilyNot easily23. For clerical grades only Indicate speed in words per minuteList any office machines or equipment you can useOther languagesEnglishFrenchTyping Shorthand 24. EDUCATION. Give full details - N.B. Please give exact name of institution and titles of degrees in original language. Please do not translate or equate to other degrees. A. University or equivalentYears attendedName , place and countryfromtoDegrees and academic distinctionsMain course of studyB. Schools or other formal training or education from age 14 (e.g. high school, technical school or apprenticeship)Years attendedName, place and countryTypefromtoCertificates or diplomas obtained25. List professional societies and activities in civic, public or international affairs26. List any significant publications you have written (Do not attach)27. EMPLOYMENT RECORD: Starting with your present post, list in reverse order every employment you have had. Use a separate block for each post. 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.FromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business:Address of employer: Name of supervisor : Number and kind of employees supervised by you :Reason for leaving: DESCRIPTION OF YOUR DUTIES FromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business:Address of employer : Name of supervisor :Number and kind of employees supervised by you :Reason for leaving: DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business :Address of Employer :Name of supervisor :Number and kind of employees supervised by you : Reason for leaving: DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business :Address of employer : Name of supervisor : Number and kind of employees supervised by you : Reason for leaving:DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business :Address of employer :Name of supervisor : Number and kind of employees supervised by you : Reason for leaving:DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business:Address of employer : Name of supervisor :Number and kind of employees supervised by you :Reason for leaving: DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business :Address of Employer :Name of supervisor :Number and kind of employees supervised by you : Reason for leaving: DESCRIPTION OF YOUR DUTIESFromToSalaries per annumExact title of your post :Month/YearMonth/YearStartingFinalName of employer :Type of business :Address of employer : Name of supervisor : Number and kind of employees supervised by you : Reason for leaving:DESCRIPTION OF YOUR DUTIES 28. Have you any objections to our making inquiries of you present employer ? YES [ ] NO [ ]29. Are you now, or have you ever been, a permanent civil servant in your government's employ ? YES [ ] NO [ ] If answer is "yes", when ?30. REFERENCES : List three persons, not related to you, who are familiar with your character and qualifications. Do not repeat names of supervisor listed under item 27FULL NAMEFULL ADDRESSBUSINESS OR OCCUPATION1.2.3.31. State any relevant facts. Include information regarding any residence outside the country of your nationality. 32. Have you ever been arrested, indicted, or summoned into 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. 33. 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 a Personal History form or other document requested by the United Nations renders a staff member of the United Nations liable to termination or dismissal. DATE: SIGNATURE : 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 by the Organization 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 Organisation.      Page  PAGE 1 of  NUMPAGES 4 G\    / 2 = > G I Q R S c r s   " % D G b d    F J ˿˿˿˿˿˿˿˿˿˦˿˿˿˿˿˿˿˿˿˿˿˿˿˿˿hTTh$5mH sH hTTh[mH sH hTThs5CJmH sH hTThs5mH sH hTThsmH sH jhTThsUmH sH hTThs6CJmH sH hTThsCJmH sH <-Lli/$ Jh, x <L"\% (*-l00358|;$Ifa$$If2$ Jh, x <L"\% (*-l00358|;$Ifa$gdTT, Jh, x <L"\% (*-l00358|;$If zMMMM, Jh, x <L"\% (*-l00358|;$Ifkd$$If8F'&0    4 8a8gaaaa$Ifkdp$$IfA\ '    04 Aa8  / 6 g:::::, Jh, x <L"\% (*-l00358|;$Ifkd$$IfA\ '    04 Aa86 7 8 9 : ; < TNNNNN$Ifkd$$IfKrp#'&04 Ka8< = G Q c T''', Jh, x <L"\% (*-l00358|;$Ifkd $$IfKrp#'&04 Ka8c d e f g $Ifg h i j .(($Ifkd. $$IfA֞j n"'|04 Aa8j u , Jh, x <L"\% (*-l00358|;$If .kd $$IfA֞j n"'|04 Aa8  " = s^kd $$IfK''04 Ka8, Jh, x <L"\% (*-l00358|;$If= > ? @ A zttt$Ifkdx $$IfKF '  ~ 0    4 Ka8A B C D ] zttG, Jh, x <L"\% (*-l00358|;$If$Ifkd$ $$IfKF '  ~ 0    4 Ka8] ^ _ ` a zttt$Ifkd $$IfKF '  ~ 0    4 Ka8a b  zMM, Jh, x <L"\% (*-l00358|;$Ifkd$$IfKF '  ~ 0    4 Ka8 pppppp/$ Jh, x <L"\% (*-l00358|;$Ifa$^kd6$$IfK''04 Ka8    A;;;;;$Ifkd$$If8ֈ*  'NN04 8a8      ;kd$$If8ֈ*  'NN04 8a8$If ;kd6$$If8ֈ*  'NN04 8a8$If s^kdR$$IfK''04 Ka8, Jh, x <L"\% (*-l00358|;$If  E ss, Jh, x <L"\% (*-l00358|;$If^kd$$IfK''04 Ka8E F ss, Jh, x <L"\% (*-l00358|;$If^kdr$$IfK''04 Ka8J *.WZ* 9_v.`b~:u9By駙hTThs56CJmH sH hTThs56mH sH hTThs5CJmH sH hTThsCJmH sH hTThs6CJmH sH hTThs6mH sH hTThsCJmH sH hTThs5mH sH hTThsmH sH 5 !ppp/$ Jh, x <L"\% (*-l00358|;$Ifa$^kd$$IfK''04 Ka8!"#$%zttt$Ifkd$$IfKF~Z'~<0    4 Ka8%&'()zttt$IfkdL$$IfKF~Z'~<0    4 Ka8)*VzM, Jh, x <L"\% (*-l00358|;$Ifkd$$IfKF~Z'~<0    4 Ka8VWsss, Jh, x <L"\% (*-l00358|;$If^kd$$IfK''04 Ka8J`, Jh, x <L"\% (*-l00358|;$Ifqkdz$$IfK0'04 Ka8JKLQW]hjjjj/$ Jh, x <L"\% (*-l00358|;$Ifa$$If^kd&$$IfK''04 Ka8hiyT$$$/$ Jh, x <L"\% (*-l00358|;$Ifa$kd$$IfKr'04 Ka8Ff@$IfFfF/$ Jh, x <L"\% (*-l00358|;$Ifa$-_, Jh, x <L"\% (*-l00358|;$IfFf $Ff!$If_`abcstW/$ Jh, x <L"\% (*-l00358|;$Ifa$$Ifqkd%$$IfK0'04 Ka8tuv~TN/$ Jh, x <L"\% (*-l00358|;$Ifa$$Ifkd&$$IfAr '04 Aa8~$If/$ Jh, x <L"\% (*-l00358|;$Ifa$Akd'$$IfAֈ '04 Aa8$If/$ Jh, x <L"\% (*-l00358|;$Ifa$A, Jh, x <L"\% (*-l00358|;$Ifkd($$IfAֈ '04 Aa8;kd)$$IfAֈ '04 Aa8$If.b~t2$ Jh, x <L"\% (*-l00358|;$Ifa$gdTT, Jh, x <L"\% (*-l00358|;$If+$ Jh, x <L"\% (*-l00358|;a$~j/$ Jh, x <L"\% (*-l00358|;$Ifa$$If^kdj*$$IfK''04 KaKg77777/$ Jh, x <L"\% (*-l00358|;$Ifa$kd*$$IfA\ '  04 AaKTNNNNN$Ifkd+$$IfKr '  04 KaKTNNNNN$Ifkd,$$IfKr '  04 KaKTNNNNN$Ifkdn-$$IfKr '  04 KaKrT', Jh, x <L"\% (*-l00358|;$Ifkd6.$$IfKr '  04 KaKrstuj/$ Jh, x <L"\% (*-l00358|;$Ifa$$If^kd.$$IfK''04 KaKg77777/$ Jh, x <L"\% (*-l00358|;$Ifa$kd/$$IfA\ '   04 AaKTNNNNN$IfkdV0$$IfKr '   04 KaKTNNNNN$IfkdH1$$IfKr '   04 KaKTNNNNN$Ifkd2$$IfKr '   04 KaK9T', Jh, x <L"\% (*-l00358|;$Ifkd2$$IfKr '   04 KaK9:;<=;^kd04$$IfK''04 KaK$If^kd3$$IfK''04 KaK=>?@A;^kdP5$$IfK''04 KaK$If^kd4$$IfK''04 KaKABs, Jh, x <L"\% (*-l00358|;$If^kd5$$IfK''04 KaK;^kd7$$IfK''04 KaK$If^kdp6$$IfK''04 KaK;^kd 8$$IfK''04 KaK$If^kd7$$IfK''04 KaKsCCC/$ Jh, x <L"\% (*-l00358|;$Ifa$^kd8$$IfK''04 KaK, Jh, x <L"\% (*-l00358|;$Ifz{6Ih{() :=-/`c$%:=%KLwyJ] rtwz%hTThTTmH sH hTThs5mH sH hTThsmH sH hTTh$mH sH R (.g7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kd@9$$IfK\ ' 04 KaK./012345Nkd:$$IfAr  '04 AaK$If56I[T'', Jh, x <L"\% (*-l00358|;$Ifkd:$$IfAr  '04 AaK[\r``, Jh, x <L"\% (*-l00358|;$Ifqkd`;$$IfK0&'&04 KaK$Ifqkd <$$IfK0&'&04 KaK]]00, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$qkd<$$IfK0&'&04 KaK/$ Jh, x <L"\% (*-l00358|;$Ifa$, Jh, x <L"\% (*-l00358|;$IfzJ/$ Jh, x <L"\% (*-l00358|;$Ifa$kdr=$$IfAF&6!'& 0    4 AaK;^kd>$$IfK''04 KaK$If^kd,>$$IfK''04 KaK;^kd?$$IfK''04 KaK$If^kdL?$$IfK''04 KaK;^kd@$$IfK''04 KaK$If^kdl@$$IfK''04 KaK;^kdB$$IfK''04 KaK$If^kdA$$IfK''04 KaK  :pppC, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$^kdB$$IfK''04 KaK:;FQZ`g7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kdJ$$IfK\ ' 04 KaKNkdK$$IfAr  '04 AaK$IfT'', Jh, x <L"\% (*-l00358|;$IfkdK$$IfAr  '04 AaK``, Jh, x <L"\% (*-l00358|;$Ifqkd^L$$IfK0&'&04 KaK()ZZZZZ, Jh, x <L"\% (*-l00358|;$If$Ifqkd M$$IfK0&'&04 KaK)*EzJ/$ Jh, x <L"\% (*-l00358|;$Ifa$kdM$$IfAF&!'& 0    4 AaKEFGHI;^kdO$$IfK''04 KaK$If^kdN$$IfK''04 KaKIJKLM;^kdW$$IfK''04 KaK$If^kdV$$IfK''04 KaKuv{~pppC, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$^kdW$$IfK''04 KaKg7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kd^X$$IfK\ ' 04 KaKNkd&Y$$IfAr  '04 AaK$IfT'', Jh, x <L"\% (*-l00358|;$IfkdY$$IfAr  '04 AaK,`+5 Jh, x <L"\% (*-l00358|;$&dIfP, Jh, x <L"\% (*-l00358|;$Ifqkd~Z$$IfK0&'&04 KaK,-./Mc]]00, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$qkd*[$$IfK0&'&04 KaKcwxM/$ Jh, x <L"\% (*-l00358|;$Ifa$kd[$$IfAF&6!'& 0    4 AaK, Jh, x <L"\% (*-l00358|;$If;^kd ]$$IfK''04 KaK$If^kd\$$IfK''04 KaK;^kd@^$$IfK''04 KaK$If^kd]$$IfK''04 KaKpppC, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$^kd^$$IfK''04 KaKg7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kd`_$$IfK\ ' 04 KaKNkd(`$$IfAr  '04 AaK$If%T'', Jh, x <L"\% (*-l00358|;$Ifkd`$$IfAr  '04 AaK%&=R`+5 Jh, x <L"\% (*-l00358|;$&dIfP, Jh, x <L"\% (*-l00358|;$Ifqkda$$IfK0&'&04 KaKRSTrZZZ, Jh, x <L"\% (*-l00358|;$If$Ifqkd,b$$IfK0&'&04 KaKzJ/$ Jh, x <L"\% (*-l00358|;$Ifa$kdb$$IfAF&6!'& 0    4 AaK;^kd"d$$IfK''04 KaK$If^kdc$$IfK''04 KaK;^kdBe$$IfK''04 KaK$If^kdd$$IfK''04 KaKpppC, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$^kde$$IfK''04 KaKg7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kdbf$$IfK\ ' 04 KaK !"#$Nkd*g$$IfAr  '04 AaK$If$%8KT'', Jh, x <L"\% (*-l00358|;$Ifkdg$$IfAr  '04 AaKKLbw``, Jh, x <L"\% (*-l00358|;$Ifqkdh$$IfK0&'&04 KaKwxyZZZZZ, Jh, x <L"\% (*-l00358|;$If$Ifqkd.i$$IfK0&'&04 KaKzJ/$ Jh, x <L"\% (*-l00358|;$Ifa$kdi$$IfAF&!'& 0    4 AaK;^kd@k$$IfK''04 KaK$If^kdj$$IfK''04 KaK;^kd`l$$IfK''04 KaK$If^kdk$$IfK''04 KaKpppC, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$^kdl$$IfK''04 KaK(3<Bg7777/$ Jh, x <L"\% (*-l00358|;$Ifa$kdm$$IfK\ ' 04 KaKBCDEFGHINkdHn$$IfAr  '04 AaK$IfIJ]pT'', Jh, x <L"\% (*-l00358|;$Ifkdn$$IfAr  '04 AaKpq`+5 Jh, x <L"\% (*-l00358|;$&dIfP, Jh, x <L"\% (*-l00358|;$Ifqkdo$$IfK0&'&04 KaK]]00, Jh, x <L"\% (*-l00358|;$If/$ Jh, x <L"\% (*-l00358|;$Ifa$qkdLp$$IfK0&'&04 KaKM/$ Jh, x <L"\% (*-l00358|;$Ifa$kdp$$IfAF&6!'& 0    4 AaK, Jh, x <L"\% (*-l00358|;$If ;^kdBr$$IfK''04 KaK$If^kdq$$IfK''04 KaK     ;^kdbs$$IfK''04 KaK$If^kdr$$IfK''04 KaK vuH, Jh, x <L"\% (*-l00358|;$If+$ Jh, x <L"\% (*-l00358|;a$^kds$$IfK''04 KaKvwss, Jh, x <L"\% (*-l00358|;$If^kdt$$IfK''04 KaKss, Jh, x <L"\% (*-l00358|;$If^kdu$$IfK''04 KaK      !! ""#####$e%l%v%w%y%z%|%}%%%%%%%%%%%%%%%%%´کڡvvhZ"CJaJmHnHujhTTh vCJUaJhTTh vCJaJhsZjhsZUhTTh$mH sH hTThs5>*mH sH hTThs>*mH sH hTThs5mH sH hTThsmH sH hTThs56mH sH hTThs6mH sH . ppp/$ Jh, x <L"\% (*-l00358|;$Ifa$^kdu$$IfK''04 KaK   zMGG$If, Jh, x <L"\% (*-l00358|;$Ifkd2v$$IfKFD 'D D D 0     4 KaK     zMGG$If, Jh, x <L"\% (*-l00358|;$Ifkdv$$IfKFD 'D D D 0     4 KaK     zMGG$If, Jh, x <L"\% (*-l00358|;$Ifkdw$$IfKFD 'D D D 0     4 KaK  zMMMMMMM, Jh, x <L"\% (*-l00358|;$IfkdDx$$IfKFD 'D D D 0     4 KaK , Jh, x <L"\% (*-l00358|;$If u!! " "ssss, Jh, x <L"\% (*-l00358|;$If^kdx$$IfK''04 KaK " "{############ssssssssssss, Jh, x <L"\% (*-l00358|;$If^kdy$$IfK''04 KaK #$ $ $$s%t%s^kdz$$IfK''04 KaK, Jh, x <L"\% (*-l00358|;$Ift%u%v%x%y%{%|%~%%%%%%%% $]a$gdTT^kdz$$IfK''04 KaK%%%%hTThsmH sH hsZh v50&P :pTT. A!S"7#7$7% Ddzq h<  C Ab->Dɂ%8sDo n->Dɂ%8sPNG  IHDRzq)>ugAMA0PLTE{ pHYs$ll%IDATx[ v! t[4NcUϊAƿlGv01Ďѓ'R.#c+i}ne=pc;Pk>܂2Eξܒ_M%*A\f%oU[zC]!׋jH^Z{R-:{mD?5NzkȜ.p(' ŻgA+l!ea]:+4$ͱKr=zyz/>L|Gp_ 'AdL>ů~RN(w`J~:ˬ]u4@ Q~y 4o*b<<:>dD١4C ~ *Tvg_^qϑ_~ݴE4Z)zQ7V_c$p|嚭у#6&4kkD-hG7P?bs_=^Џ$g6b+؜{o/AO Pϧѿc=8z;/X$L{Xlδ羷%72O@wг>=ق~  xU;Kqew轔țǠs)g[>~~\[^RJK68bTYe88ߵʨᕻj>/E^߮/? aEoɬ=?.Z1eN*8-O>>>>Z=JYIENDB`$$If8!vh#v#v&#v:V 8055&5/  / / /  / 44 8a8$$IfA!vh#v #v :V A05 5 / / 44 Aa8$$IfA!vh#v #v :V A05 5 / /  / 44 Aa8$$IfK!vh#v#v&:V K055&/  / 44 Ka8$$IfK!vh#v#v&:V K055&/ /  44 Ka8$$IfA!vh#v#v#v#v|:V A05555|/  / / 44 Aa8$$IfA!vh#v#v#v#v|:V A05555|/ /  /  / 44 Aa8$$IfK!vh#v':V K05'/  44 Ka8$$IfK!vh#v #v~ :V K05 5~ /  /  44 Ka8$$IfK!vh#v #v~ :V K05 5~ /  / 44 Ka8$$IfK!vh#v #v~ :V K05 5~ /  /  / 44 Ka8$$IfK!vh#v #v~ :V K05 5~ / /  44 Ka8$$IfK!vh#v':V K05'/ 44 Ka8 $$If8!vh#v#vN#v#v#vN#v:V 8055N555N5/  / / / /  44 8a8`$$If8!vh#v#vN#v#v#vN#v:V 8055N555N5/ / / / / /  / / / / / 44 8a8$$If8!vh#v#vN#v#v#vN#v:V 8055N555N5/  / / / / /  44 8a8$$IfK!vh#v':V K05'/  44 Ka8$$IfK!vh#v':V K05'/  44 Ka8$$IfK!vh#v':V K05'/ 44 Ka8$$IfK!vh#v':V K05'/ 44 Ka8$$IfK!vh#v~#v#v<:V K05~55</  /  44 Ka8$$IfK!vh#v~#v#v<:V K05~55</  /  / 44 Ka8$$IfK!vh#v~#v#v<:V K05~55</ / / / 44 Ka8$$IfK!vh#v':V K05'/  44 Ka8$$IfK!vh#v#v:V K055/ /  44 Ka8$$IfK!vh#v':V K05'/  44 Ka8$$IfK!vh#v#v:V K055/ / /  44 Ka8$$IfK!v h#v#v#v :V K0555 /  / / /  44 Ka8kdp$$IfK  #'0$$$$4 Ka8 $$IfK!v h#v#v#v :V K0555 / / / / /  /  / / 44 Ka8kd2$$IfK  #'0$$$$4 Ka8$$IfK!v h#v#v#v :V K0555 /  / / / /  44 Ka8kd, $$IfK  #'0$$$$4 Ka8 $$IfK!v h#v#v#v :V K0555 / / / / /  /  / / 44 Ka8kd"$$IfK  #'0$$$$4 Ka8$$IfK!vh#v#v:V K055/ /  44 Ka8$$IfA!vh#v#v#v#v:V A05555/  / / / 44 Aa8$$IfA!vh#v#v#v:V A0555/ / /  / / /  / 44 Aa8$$IfA!vh#v#v#v:V A0555/ / /  / / /  / 44 Aa8$$IfA!vh#v#v#v:V A0555/ /  / / /  44 Aa8$$IfK!vh#v':V K05'/ 44 KaK$$IfA!vh#v #v#v #v:V A05 55 5/  / 44 AaK$$IfK!vh#v #v#v #v:V K05 55 5/ / /  / 44 KaK$$IfK!vh#v #v#v #v:V K05 55 5/ /  44 KaK$$IfK!vh#v #v#v #v:V K05 55 5/  / 44 KaK$$IfK!vh#v #v#v #v:V K05 55 5/ /  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfA!vh#v #v #v#v :V A05 5 55 /  / 44 AaK$$IfK!vh#v #v #v#v :V K05 5 55 / /  / / /  44 KaK$$IfK!vh#v #v #v#v :V K05 5 55 / /  44 KaK$$IfK!vh#v #v #v#v :V K05 5 55 /  / 44 KaK$$IfK!vh#v #v #v#v :V K05 5 55 / /  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfK!vh#v&#v:V K05&5/ / /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ / / /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/ / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ / / /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v#v #v:V K055 5/ /  /  44 KaK$$IfA!vh#v#v:V A055/  / 44 AaK$$IfA!vh#v#v:V A055/ /  44 AaK$$IfK!vh#v&#v:V K05&5/  / 44 KaK$$IfK!vh#v&#v:V K05&5/  /  44 KaK$$IfA!vh#v&#v #v:V A05&5 5/ /  44 AaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/  44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#vD :V K0 5D /  /  44 KaK$$IfK!vh#vD :V K0 5D / / / / 44 KaK$$IfK!vh#vD :V K0 5D / / / /  44 KaK$$IfK!vh#vD :V K0 5D / / / / 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK$$IfK!vh#v':V K05'/ 44 KaK^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmHnHsHtH:`: 1KG=K9_HmH sH tH BA B A=>2=>9 H@8DB 0170F0\i@\ 1KG=0O B01;8F0 :V 44 la .k . 5B A?8A:0 6O6 WP DefaultsCJ00 InitialStyleLL TT5@E=89 :>;>=B8BC;  9r J @"J TT86=89 :>;>=B8BC;  9r PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VCWNIA!ޝ}7/݉%BR7Hw9!p<Ǥፉ.EB\ /T*Y>,cy'$gC."Vso+C1OǓt}8>V3mBb%DWs'O''Gw ~lh;UM!DzŬ;C K^ysJJ1KRμ)~.ک/ Y\n9?[]67)qnpJOF$ w;fCLL&׸m%]V%z-{ v8Ҩm-.xo(-ms~ۜ|s>Ͼ%O04h=یщ!eƌ\f :C*OiIA 64HpUa7 UO3 d:(fA@٣>N"Hhp&hA38 )SUUR'V5&HM.6xpyn,ބ!h^^Z4~0#w,,& g"Ic힍Q)˕C6%^+Hk!$A*#.D)irdq8Y^}q~C>Np%uJx?+al|zf[Ux5b>c!:M (MkIVEpYPҍN2$ÿ -.h۴"P6T{T 6]u̒VhVnR+n;)ȔbL X6Y`+qB]( 0H1$6_[s)k8Tm Aa?R d ڒɾ0{eRF& Ī't\{BHuM6`pGϽO+!XoN'^[crh2*tW<{1U+l_QSncX<)Q(wJH ٯ#zCm>nhf6t}M&ʺ6ײ'\gkNS:;\qN-S;kǺ"{DailL`̗/޿ ^o#I&%0]SPV!] PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!^}-theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] T ///2J %%*O6 < c g j = A ] a  E !%)VJh_t~~r9=A.5[:`g#'_)EIM=mqu,c%R$KwBIp  v    "#t%% !"#$%&'()+,-./0123456789:;<=>?@ABCDEFGHIJKLMNPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~*,2!8@0(  B S  ?uvvxyy{|~-4LNlo)7dqNT @HU ` R\ %${vxy{|~3333333333333333333333-KLluvwxyz{|~uvvxyy{|~  $[ vZ"D.TTsZXv~sEvx@ @UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA$BCambria Math"hD D e5e524gg3HP ?$2!xx  INSTRUCTIONSagascaelenaOh+'0\    $ 0<DLTINSTRUCTIONSagascaP11_template_07.13Engelena2Microsoft Office Word@@@;a@;ae՜.+,08 hp  UNICEF5g  INSTRUCTIONS INSTRUCTIONS  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ Root Entry FKbData >{1Table!WordDocument7TSummaryInformation(DocumentSummaryInformation8CompObjr  F Microsoft Word 97-2003 MSWordDocWord.Document.89q