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P.

11 (2-74) - E
Do Not Write in This Space
INSTRUCTIONS
Please answer each question
clearly and completely. Type or UNITED NATIONS
print in ink. Read carefully and
follow all directions. PERSONAL HISTORY

1. Family name First name Middle name Maiden name, if any


SOEGIJANA IRENE RATIH ERTININGTYAS

2. Date Day Mo. Yr. 3. Place of birth 4. Nationality (ies) at birth 5. Present nationality (ies) 6. Sex
of 16 07 1986 JAKARTA INDONESIAN INDONESIAN FEMALE
Birth
7. Height 8. Weight 9. Marital status:
Single V Married Separated Widow(er) Divorced
158 CM 72 KG
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? YES NO V If yes, please describe.

11. Permanent address 12. Present address (if different) 13. Office Telephone No. +6281296055215
Office Fax. No N/A
KAV DKI BLOK 66/8 RT 006/RW 010, E-mail: ratih.ertiningtyas@gmail.com
MERUYA UTARA, KEMBANGAN, JAKARTA
BARAT 11620, DKI JAKARTA

Telephone No. Telephone/Fax No.

15. Have you any dependents?


YES NO V If the answer is yes, give the following information:

NAME Date of Birth Relationship NAME Date of Birth Relationship

16. Have you taken up legal permanent residence status 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 present nationality? YES NO v
If answer is yes, explain fully:

18. Are any of your relatives employed by a public international organization? YES V NO
If answer is yes, give the following information:
NAME Relationship Name of International Organization

19. What is your preferred field of work? Social development

20. Would you accept employment for less 21. Have you previously submitted an application for employment with U.N.?
than six months YES NO V if so when? UNESCO , dated 25 April 2016

22. KNOWLEDGE OF LANGUAGES. What is your mother tongue? Bahasa Indonesia

READ WRITE SPEAK UNDERSTAND


Not Not Not Not
OTHER LANGUAGES Easily Easily Easily Easily Easily Easily Easily Easily
English v v v v
Javanese v v v v

23. For clerical grades only List any office machines or equipment
Indicate speed in words per minute you can use
Other languages
English French
Typing
Shorthand
24. EDUCATIONAL. Give full details - N.B. Please give exact titles of degrees in original language.
A. UNIVERSITY OR EQUIVALENT Please do not translate or equate to other degrees.
ATTENDED FROM/TO DEGREES and ACADEMIC
NAME, PLACE AND COUNTRY MAIN COURSE OF STUDY
Mo./Year Mo./Year DISTINCTIONS OBTAINED
Universitas Katolik Indonesia Atma Jaya, 2004 2009 GPA 3,30 of 4,00 Major in Psychology with
Jakarta, Indonesia Sarjana Strata 1 Psikologi (S.Psi) specification in Social
equal as Bachelor Degree Psychology

B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship)
ATTEND FROM/TO CERTIFICATES OR
NAME, PLACE AND COUNTRY TYPE
Mo./Year Mo./Year DIPLOMAS OBTAINED

25. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS
(i) Member, Gerakan STOP Kawin Anak (collaboration platform of activist, academician, researchers, and government officials to upscale the
minimum age of marriage in Indonesian Marriage Law)
(ii) Volunteer, ECPAT Indonesia
(iii) Member , ARNEC community (network of Early Childhood Development practitioners, researchers and academician committed to endorse the
child access to quality Holistic Integrative Early Childhood Development services in Asia & Pacific region)
(iv) Member, Komunitas Nipah 21 (cultural activism community)

26. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (do not attach)
(i) Learning to Cook from Scratch in Indonesia, published article by ChildFund International, 2015
(ii) Parallel ECD in Sumba, NTT Indonesia, Poster Presentation for ARNEC Conference, 2014

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. Give both gross and net salaries per annum for your last or present post.

A. PRESENT POST (LAST POST, IF NOT PRESENTLY IN EMPLOYMENT)


FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:
MONTH/YEAR MONTH/YEAR STARTING FINAL
IDR 130,320,000 IDR 159,000,000 PROJECT OFFICER
APRIL/2015 MAY/2016
NAME OF EMPLOYER: TYPE OF BUSINESS:
SOCIAL DEVELOPMENT, HUMAN RIGHTS
HIVOS REGIONAL OFFICE SOUTHEAST ASIA
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: TUNGGAL PAWESTRI, MS.
Email: tpawestri@hivos.org
JL.KEMANG RAYA XII NO.1, JAKARTA SELATAN
NO. AND KIND OF EMPLOYEES REASON FOR LEAVING:
SUPERVISED BY YOU: N/A End of contract
DESCRIPTION OF YOUR DUTIES

I was responsible to provide program strategy and play active role as collaborator and national coordinator for specific projects of
Sexual and Reproductive Health Rights (SRHR), Sexual Rights Diversity and Freedom of Expression. The program related to child
protection focus ie. The provision of SRHR education in public, private and religious school through SEPERLIMA project, the data
platform establishment for children and women sexual violence registry in www.djalinperan.com and Female Genital Multilation
studies in 7 provinces.

B. PREVIOUS POSTS (IN REVERSE ORDER)


FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL


OCT/2014 APRIL/2015 PROGRAM OFFICER WESTERN ZONE
IDR 99,600,000 IDR 99,600,000
NAME OF EMPLOYER: TYPE OF BUSINESS:
CHILDFUND INTERNATIONAL SOCIAL DEVELOPMENT, CHILD DEVELOPMENT , CHILD
PROTECTION, DRR

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: MUHAMMAD ENDARTO, MR


Email: mendarto@indonesia.childfund.org
Jl.Taman Margasatwa Kav.26 Blok E, Pasar Minggu, Jakarta Selatan 12550 , NO. AND KIND OF EMPLOYEES REASON FOR LEAVING:
DKI Jakarta NEW VENTURE
SUPERVISED BY YOU: N/A
DESCRIPTION OF YOUR DUTIES
I was responsible to provide program strategy for underprivileged children age 0-16 years old with the focus of child protection, early childhood
development , and school education in Lampung, South Sumatra, West Java, Banten and Jakarta. I also responsible to manage program for youth
age 17-24 and ensure quality program implementation comprising life skill education, and safety net in South Sumatra, Banten, West Jakarta and
South Jakarta. I work closely with the Ministry of Social Affairs of Indonesia.

FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL PROGRAM OFFICER ENHANCE


OCT/ 2011 SEPT/2014 IDR 36,000,000 IDR 99,600,000

NAME OF EMPLOYER: TYPE OF BUSINESS:


SOCIAL DEVELOPMENT, HOLISTIC INTEGRATIVE ECD, CSR , DRR
CHILDFUND INTERNATIONAL
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: JOANNE HASHIM, MS
Email : johashim@gmail.com
Jl.Taman Margasatwa Kav.26 Blok E, Pasar Minggu, Jakarta Selatan 12550 ,
DKI Jakarta

NO. AND KIND OF EMPLOYEES REASON FOR LEAVING


SUPERVISED BY YOU: N/A End of project
DESCRIPTION OF YOUR DUTIES

I was responsible as the National Coordinator of ENHANCE program that responsible to provide program strategy, ensure
quality program implementation and implement advocacy at national level, working closely with the National Bureau of Family
Planning. I was working with local partners, communities, government agencies, and CSOs in 9 district and 4 provinces to
initiate quality implementation of Holistic Integrative Early Childhood Development services in the program areas.

FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL PROGRAM COORDINATOR OF COUNTER TRAFFICKING


FEB/2010 SEPT/2011 30,000,000 54,000,000

NAME OF EMPLOYER: TYPE OF BUSINESS:


SOCIAL DEVELOPMENT, CHILD PROTECTION
ECPAT INDONESIA
ADDRESS OF EMPLOYER: NAME OF SUPERVISOR: AHMAD SOFIAN, MR
Email: sofian@gmail.com
Jl.Rawajati Timur , Komp.Kalibata Indah Lobi-Lobi U19, Pancoran, Jakarta NO. AND KIND OF EMPLOYEES REASON FOR LEAVING
Selatan, DKI Jakarta New venture
SUPERVISED BY YOU: N/A
DESCRIPTION OF YOUR DUTIES

I was responsible to represent the national coalition of ending the commercial sexual exploitation of children (CSEC) in Indonesia
in the Ministry of Women Empowerment and Child Protection by providing assistance for the implementation of Child Sexual
Exploitation Resource Centre. I also responsible to coordinate multi grants project regarding the elimination of CSEC in Indonesia
ie .as the coordinator for STOP Trafficking Global Movement in Indonesia for the ratification of Optional Protocol of Child Rights
Convention on The Sale of Children, and collaborator for regional working group to eliminate CSEC in Asia with USDOJ, French
Embassy, Royal Brunei Police, Australia Federal Police, NCB Interpol, Accor Hotel Group and The Body Shop International. I was
workin with 30 member organization from 11 provinces.

FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:


Email:
NO. AND KIND OF EMPLOYEES REASON FOR LEAVING
SUPERVISED BY YOU:
DESCRIPTION OF YOUR DUTIES
FROM TO SALARIES PER ANNUM EXACT TITLE OF YOUR POST:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER: TYPE OF BUSINESS:

ADDRESS OF EMPLOYER: NAME OF SUPERVISOR:


Email:
NO. AND KIND OF EMPLOYEES REASON FOR LEAVING
SUPERVISED BY YOU:
DESCRIPTION OF YOUR DUTIES

28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER? YES NO V

29. ARE YOU NOW, OR HAVE TO EVER BEEN, A PERMANENT CIVIL SERVANT IN YOUR GOVERNMENTS EMPLOY? YES NO V
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 supervisors listed under item 27.

FULL NAME EMAIL ADDRESS BUSINESS OR OCCUPATION


DEVI R.AYU dayu@hivos.org Former Colleagues in Hivos SEA,
Communication Officer
SAGITA ADESYWI sagita.adesywi@gmail.com Former Colleagues in ChildFund International,
Former Communication Officer
SUMADI WIJAYA madiwijaya@gmail.com Former Colleagues in ECPAT Indonesia, Former
Program Manager
31. STATE ANY OTHER RELEVANT FACTS, INCLUDING INFORMATION REGARDING ANY RESIDENCE OUTSIDE THE COUNTRY OF YOUR NATIONALITY

N/A

32. HAVE YOUR 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 V
If yes, give full particulars of each case in an attached statement. N/A

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 Organization renders a staff
member of the United Nations liable to termination or dismissal.

DATE: 4 July 2016 SIGNATURE : I.RATIH ERTININGTYAS

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 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 Organization.