ࡱ> |yz{o 0bjbj .x֘zf֘zfX% EE8Ju+++8J:J:J:J:J:J:J$MaP^J+++@++^JEEsJ...+EER8J.+8J..D"G0,xE$JJ0JEPJ-`P4GPG++.+++++^J^J.+++J++++P+++++++++ :  2020 FELLOWSHIP PROGRAMME FOR PEOPLE OF AFRICAN DESCENT APPLICATION FORM Deadline for Applications: 22 March 2020 This application form consists of two parts. While the first part must be completed by the candidate, the second part must be completed by the nominating organisation. Both parts need to be completed and bear the original signature of the candidate and the nominating organisation. Applicants are requested to submit a completed form in addition to the documents listed below in a single e-mail to  HYPERLINK "mailto:africandescentfellowship@ohchr.org" africandescentfellowship@ohchr.org. Please answer each question clearly and completely. Type or print legibly. PART I (To be completed by the candidate) First name: (as noted in the passport) Family name: (as noted in the passport)Date of birth (dd/mm/yy): Place of birth:Nationalit(ies) at birth:Present nationalit(ies):Country of residence:Sex (female/male/other):Marital status: Number of dependents: ______________________________________________________________________________ Contact details of the applicant: Present address: Tel: Fax: E-mail: _______________________________________________________________________________ Educational qualifications: University or equivalentAttended from/toDegree obtainedMain course of studymm/yymm/yy__________________________________________________________________________________ Other human rights training: __________________________________________________________________________________ Present employer: Name of the employer: Address: Tel: Fax: E-mail: Present position: Date appointed: _________________________________________________________________________________ What is the human rights situation of People of African Descent in your respective country? And what are the challenges they are facing? __________________________________________________________________________________ Current work responsibilities relevant to the Fellowship Programme, and other experience related to promoting the rights of People of African descent: __________________________________________________________________________________ Other professional experience in the field of human rights (in brief): _________________________________________________________________________________ List professional societies and activities in civic, public or international affairs in which you have been involved: _________________________________________________________________________________ How would you use the acquired knowledge at the end of the fellowship programme? __________________________________________________________________________________ Personal statement in support of your application (please write maximum 500 words and attach as a separate sheet) __________________________________________________________________________________ The Fellowship programme is bilingual (English and French). Translation will be provided for all training sessions. However, to facilitate discussion and exchanges between participants, knowledge of French would be an asset. I confirm that my command of French is: ( High proficiency ( Intermediate proficiency ( Beginner proficiency ( No proficiency _________________________________________________________________________________ How did you find out about the Fellowship Programme of People of African Descent? ( OHCHR website ( OHCHR email ( Other international organisation( Other NGO ( Word of mouth ( Other (please describe) _____________ ((((((((((((((((((((((((((((((((((((((((( Have you or a relative ever participated in a fellowship or training programme organized by United Nations If yes, please indicate name of the programme, place and date. I enclose my: ( Curriculum vitae ( Personal statement ( Letter of from the nominating organisation certifying employment status ( Copy of passport ((((((((((((((((((((((((((((((((((((((((( I certify that the statements made by me in answer to the forging questions are true, complete and correct to the best of my knowledge and belief. Date ___________________ Signature of applicant ________________ PART II (To be completed by the certifying organisation) Certifying organisation : Name of the certifying organization: Address: Tel: Fax: E-mail: ((((((((((((((((((((((((((((((((((((((((( Short description of the organisation goals, objectives and work (additional information may be submitted through references to annual report, leaflet and publication, etc.): ((((((((((((((((((((((((((((((((((((((((( Present responsibilities of the candidate within the organisation: ((((((((((((((((((((((((((((((((((((((((( Reasons for nominating this candidate: ((((((((((((((((((((((((((((((((((((((((( Name and title of the certifying official: ((((((((((((((((((((((((((((((((((((((((( Signature of the certifying official: _____________________ Date: __________________ Please affix the organisations OFFICIAL STAMP       Page PAGE \* MERGEFORMAT 1 =>OҴ~cEE1'huhk5CJOJPJQJ^JaJ:huhk5CJOJPJQJ\^JaJmH nHsH tH4hL5CJOJPJQJ\^JaJmH nHsH tH4h".5CJOJPJQJ\^JaJmH nHsH tH4h$5CJOJPJQJ\^JaJmH nHsH tH:huh<5CJOJPJQJ\^JaJmH nHsH tH4h<5CJ OJPJQJ\^JaJ mH nHsH tH#jhuh<5CJU\aJ =>OPzg }jddd$If[$\$gd)$$d %d &d 'd N O P Q a$gd$ddd[$\$a$gdZk$ddd[$\$a$gd#+h $da$gdj3 $da$gdL $da$gdk $da$gd< OPYkmsvxyzƫuZu?,hhOJPJQJ^J$hfhR_pOJPJQJ^JmH sH 5h5B*OJPJQJ\^JmH nHphsH tH5h:~'5B*OJPJQJ\^JmH nHphsH tH5h'85B*OJPJQJ\^JmH nHphsH tH5hj35B*OJPJQJ\^JmH nHphsH tH5h,I5B*OJPJQJ\^JmH nHphsH tH;h.hk5B*OJPJQJ\^JmH nHphsH tH5hRc5B*OJPJQJ\^JmH nHphsH tH  ! 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