UNITED NATIONS INFORMATION CENTRE JAKARTA

Menara Thamrin, 3A Floor

Jl. M.H. Thamrin, Kav. 3
Jakarta 10250
Indonesia

Tel: + 62 (0)21 3983 1011

Fax: + 62 (0)21 3983 1014
unic.jakarta@unic.org

INTERNSHIP APPLICATION FORM

Please use capital letters only - Verify all details
1. PERSONAL DATA
1. First name(s)/Given name

2. Surname/Family name

3. Gender

4. Date of birth (dd/mm/yy)

5. City/Country of birth

6. Present
nationality

7. Nationality at Birth

8. Present Address

9. Permanent Address

10.

Telephone number

11.

Fax number

12.

Email Address

13.

Mobile Phone

2.

EMERGENCY INFORMATION

In case of emergency please notify

14. Surname

15. Given name

17. Relationship to applicants

18. Address -

16. Present nationality

19. Permanent Address

20. Telephone number

21. Fax number

22. Email Address

23. Mobile Phone

UNIC Jakarta - Internship Application form

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3.

EDUCATION, EMPLOYMENT and SKILLS INFORMATION

Higher Education (College/University)

Clearly state the title of the degree(s), the exact starting date and the date when the degree of the current
program enrolment (education to be completed) will be obtained.
24. Completed Education
Institution (name/city/country)

Attended
From (m/y)

25. Current Education

Institution (name/city/country)

Major subjects
of study

Degrees obtained

Major subjects
of study

To (m/y)

Attended
From (m/y)

Degrees obtained

To (m/y)

26. Is the Internship compulsory?

YES

NO

Name Mentor

Institution

Telephone number

E-mail address

27. Previous work experience (if applicable)

Period

Organisation

Job Description

28. Computer Skills

Word-processing

Spreadsheet

Web page design

Internet research

Database

...
..............

29. Career Plans:

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30. Language proficiency (E: Excellent - VW: Very well G: Good - A: Average N: Notions)
Read

Write

Speak

Mother Tongue (Please Specify)

English

4.

INTERNSHIP INFORMATION

31. Please indicate your availability for an internship (period and year):
Option 1: from ../../. to ../../..
Option 2: from ../../. to ../../..
32. Preferred work assignment. Please indicate by numbering in the order of preference three main
areas in which you would like to be considered for an internship:
- Accounting & Auditing

- Environmental Affairs

- Public Information/ Journalism

- Administration & Management

- Humanitarian Affairs

- Social Research

- Computer Systems

- Law of the sea

- Statistics

- Demography

- Legal Affairs

- Sustainable Development

-Development Planning & Analysis

- Library Science

- Translation & Terminology

-Disarmament Affairs

-Peacekeeping Operations

-Women's Issues

-Economics Research

-Political Affairs

33. List two references (no relatives/family) UNIC Jakarta can contact (minimum 1 academic)
Reference 1:
Name

Organisation

Telephone number

E-mail address

Reference 2:
Name

Organisation

Telephone number

E-mail address

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34. Describe why you wish to apply for an internship at UNIC Jakarta

.
.
.
.
.
.
.
I hereby certify that the forgoing statements and answers are true, complete and correct to the best of my knowledge and
can be verified at any time.
Signature (when applying by e-mail, type your name)

Date (dd/mm/yy)

..

N.B: When the application is submitted by e-mail, please submit all your papers as attached documents. Please use your
family name (last name) followed by your birth date as the file name (example: Budi 15-12-1990)/ You may type your
signature.

Is it ok for UNIC Jakarta to forward your internship application to other Jakarta-based UN Agencies?

YES

UNIC Jakarta - Internship Application form

NO

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