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1 INSTRUCTIONS Please answer each question clearly and completely. TYPE OR PRINT LEGIBLY.

Read carefully and follow all directions.


1. 2. 7. 10. Do not Write in This Space

UNITED

NATIONS

PERSONAL HISTORY
Middle name Maiden name, if any

Family name Date of (day/month/yr) Birth 15/12/1985 Height 8. Weight 3.

First name

YOHANDES
Place of birth 9. Marital Status: 4.

RABIQY
Nationality(ies) at birth 5.

Present Nationality(ies)

6.

Sex

BANDA ACEH Single

INDONESIA Married Separated

INDONESI Widow(er)

MALE Divorced

170

Entry into United Nations service might require assignment to any area of the world in which the United Nations might have responsibilities. (a) Are there any limitations on your ability to perform in your prospective field of work? YES NO (b) Are there any limitations on your ability to engage in all travel? YES NO Permanent address 12. Present address 13. 14.

73

11.

KOMPLEK PERUMAHAN AJUN LAMHASAN NO.130 ACEH BESAR Telephone No. (+628 ) 1380243115
15. Do you have any dependent children? Name of Children YES

KOMPLEK PERUMAHAN AJUN LAMHASAN NO.130 ACEH BESAR Telephone/Fax No. ( )


NO Place of Birth

( )

Office Telephone No. Office Fax No.

( ) E-mail: biqy85@gmail.com
Nationality Gender

If the answer is yes, give the following information:

Date of Birth (day/mo/year)


15. (a) 16. 17.

Name of Spouse

YES

NO

Have you taken up legal permanent residence status in any country other than that of your nationality? If answer is yes, which country? Have you taken any legal steps towards changing your present nationality? If answer is yes, explain fully:

YES

NO NO
Name of International Organization

18.

Are any of your relatives employed by a public international organization? YES If answer is yes, give the following information: NAME Relationship


19. 20. 22. What is your preferred field of work? Would you accept employment for less than six months?


21.

MANAGEMENT AND IT YES NO

Have you previously submitted an application for employment and/or undergone any tests with U.N.? YES NO If so, when? 2009

KNOWLEDGE OF LANGUAGES. What is your mother tongue?

OTHER LANGUAGES
Easily

READ
Not Easily

INDONESIA WRITE
Easily Not Easily

SPEAK
Fluently Not Fluently

UNDERSTAND
Easily Not Easily

ENGLISH ACEH
23. For clerical grades only Indicate speed in words per minute English Typing Shorthand 48 French Other languages

List any office machines or equipment and computer programmes you use. computer,laptop,router,fax,photocop y,server,scaner,storage server,workstation

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2 24.
EDUCATION, Give full details N.B. Please give exact titles of degrees in original language. Please do not translate or equate to other degrees. ATTENDED FROM/TO Month/Year Month/Year Jul-04 Agust-08 AHLIMADIA KOMPUTER Agust-05 Agust-08 TEKNIK KOMPUTER DEGREES and ACADEMIC DISTINCTIONS OBTAINED SARJANA EKONOMI MAIN COURSE OF STUDY MANAJEMEN

A. University or equivalent NAME, PLACE AND COUNTRY Please give complete address. STIE KALPATARU,BOGOR,INDONESIA LP3I,MEDAN, INDONESIA

B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g., high school, technical school or apprenticeship)
NAME, PLACE AND COUNTRY Please give complete address. LP3I,BANDA ACEH,INDONESIA TYPE DIPLOMA 2 SMU MODAL BANGSA,ACEH BESAR,INDONESIA YEARS ATTENDED FROM TO Agust-05 Jul-07 CERTIFICATES OR DIPLOMAS OBTAINED DIPLOMA 2 KOMPUTER

HIGH SCHOOL

Jun-00

Jun-03

GRADUATION

25. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS leader Localhost Team to develope Dinas pendidikan Aceh website, Teaching Internet to children and adult in youth komplek ajun lamhasan, advisory to Rampagoe surf team 26. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (DO NOT ATTACH) Www.yohandesrabiqy.web.id

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 FINAL IDR 10.000.000 TYPE OF BUSINESS AGTP OUTPUT 3 NAME OF SUPERVISOR FAHMI YUNUS NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: 4 EXACT TITLE OF YOUR POST: KNOWLEDGE RESOUCE OFFICER

MONTH/YEAR MONTH/YEAR STARTING Sep-09 12/2010 IDR 10.000.000 NAME OF EMPLOYER: UNDP-BKPP ADDRESS OF EMPLOYER: BKPP TASK FORCE, JLN T.NYAK MAKAM NO.8 BANDA ACEH

REASON FOR LEAVING CONTRACT ENDS

DESCRIPTION OF YOUR DUTIES: 1. Help Knowledge Management consultants to undertake appropriate work plan. 2. Planning, design and development of resource centers for BKPP Knowledge and training documentation and training materials for digital learning and teaching resources. 3. Working with library staff and BKPP relevant staff to complete the library with the latest books, government publications, journals, academic publications, film / video training, digital learning and teaching resources. 4. In cooperation with BKPP Widyaiswara and staff, lecturers from universities and institutions for the development of sector research strategy to encourage individual research / development of joint and local case studies for the purpose of teaching, learning and publications. 5. Planning and development of learning packages online on topics critical to enable learning opportunities in the broader district-level cities and provinces through online learning and distance. 6. Designing and running training programs for staff BKPP Widyaiswara and within the scope of online learning package development and use of information technology for teaching purposes and the management and running programs improve English language skills in the sphere BKPP trainers and managers. 7. In collaboration with library staff and BKPP units of other institutions for the development and maintenance BKPP informative website for learning purposes. 8. In collaboration with the unit management information system (SIM) from BKPP to build and maintain e-learning site for online learning in the province of Aceh.
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B. PREVIOUS POSTS (IN REVERSE ORDER) FROM MONTH/YEAR Des-08 TO MONTH/YEAR Jul-09 SALARIES PER ANNUM STARTING IDR 3.200.000 FINAL IDR 3.200.000 TYPE OF BUSINESS: Government agencies NAME OF SUPERVISOR: Satimin NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: DESCRIPTION OF YOUR DUTIES 1. Data base editing 2. Filing system maintenance for Human Resource file such as, Leave record, Overtime record, attandance sheet, staff Personal file, payroll, staff list. 3. File maintenance for all type archive of BRR operational and program, such as service contract, tender documentation, company profiles, work partner documentation, finance documentation, etc. 4. Data entry for database archive compilation. 5. Daily Reporting 6. Performs other duties as required EXACT TITLE OF YOUR POST: Staff Media Displace

NAME OF EMPLOYER: ANRI (Arsip NasionaRepublik Indonesia) ADDRESS OF EMPLOYER: Jl. TGk Imum Lueng Bata Banda Aceh

REASON FOR LEAVING: contract ends

FROM MONTH/YEAR Jan-08

TO MONTH/YEAR Des-08

SALARIES PER ANNUM STARTING IDR 1.500.000 FINAL IDR 6.000.000

EXACT TITLE OF YOUR POST: Finance Consultant

NAME OF EMPLOYER: Indonesian Stock Exchange (IDX) ADDRESS OF EMPLOYER: Jl. Jend. Sudirman Kav 52-53 South Jakarta 12190 Indonesia

TYPE OF BUSINESS: Trading NAME OF SUPERVISOR: Hardianto Sahid NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: 3 DESCRIPTION OF YOUR DUTIES

REASON FOR LEAVING: contract ends

1. 2. 3. 4. 5. 6. 7. 8.

Coordinate and support all aspects of futures Responsible of phone log, fax log, Hotel reservation, ticket reservation, meeting arrangement. Monitoring Leave record, Overtime record, and timesheet for staff within department. Prepare cash advance request and expense claim. Visa arrangement, such as extension, recommendation request for job assignment of national staff. Dealing with the landlord for renting a guest house, office and prepare the Lease Agreement. Monthly reporting Performs other duties as required EXACT TITLE OF YOUR POST: FROM TO SALARIES PER ANNUM Web master MONTH/YEAR MONTH/YEAR STARTING FINAL Jul-09 Jun-09 IDR 4.000.000 7.000.000 TYPE OF BUSINESS: Hotel and Advertisment NAME OF SUPERVISOR:

NAME OF EMPLOYER: PT.Sulthan ADDRESS OF EMPLOYER: jln.Hotel Sulthan Peunayong Banda Aceh

Ilham,Se

NO. AND KIND OF EMPLOYEES SUPERVISED BY YOU: DESCRIPTION OF YOUR DUTIES 1. 2. 3. 4. 5. 6. 7. Creating website using PHP technique skills, with database SQL. Website maitenance during contract period Educating Authors Generating Log Reports Publishing & Managing Content Securing the Website and Servers Managing user/group accounts

REASON FOR LEAVING: Contract ends

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28. HAVE YOU ANY OBJECTIONS TO OUR MAKING INQUIRIES OF YOUR PRESENT EMPLOYER?

YES YES

NO NO

29. ARE YOU NOW OR HAVE YOU EVER BEEN A CIVIL SERVANT IN YOUR GOVERNMENTS EMPLOY? If answer is yes, WHEN?

September 2009
30. REFERENCES: List three persons, not related to you, and are not current United Nations staff members, who are familiar with your character and qualifications. Do not repeat names of supervisors listed under Item 27. FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION

Anwar Muhammad WERI Ilhamsah Siregar


31.

Jl. Tanjung II No.12, Ie Masen Kayee Adang, Kec. Syiah Kuala, Banda Aceh, NAD Jl. Syiah Kuala No. 35A Kel. Mulia, Banda Aceh 23123 jln.syiah Kuala lr.makmur no.6a desa Lambaro skep Banda Aceh

Chief of Badan Kepegawaian Pendidikan dan Pelatihan (BKPP) Banda Aceh Consultan Of Staff Career Development AGTP Output 3 Consultan program and budgeting AGTP Output 3

STATE ANY OTHER 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. OTHER AGENCIES OF THE UNITED NATIONS SYSTEM MAY BE INTERESTED IN OUR APPLICANTS. DO YOU HAVE ANY OBJECTION TO YOUR PERSONAL HISTORY FORM BEING MADE AVAILABLE TO THEM? YES NO

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.
34.

DATE (day, month, year)

30, June,2011

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 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.

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