U.S.

Department of State APPLICATION FOR EMPLOYMENT AS A LOCALLY EMPLOYED STAFF OR FAMILY MEMBER

OMB APPROVAL NO. 1405-0189 EXPIRES: 12/31/2012 ESTIMATED BURDEN: 1 Hour

(This application is for positions recruited by the U.S. Mission under the Office of Overseas Employments Interagency Local Employment Recruitment Policy) POSITION 1. Position Title SECURITY INVESTIGATOR - TRAINING GRADE LEVEL 3. Vacancy Announcement Number (If known) N/A 2. Grade FSN-07/FP-07 4. Date Available for Work (mm-dd-yyyy) 07/01/2012 PERSONAL INFORMATION 5. Last Name (s) / Surnames JOVANOVIC 6. Other Names Used 7. Date of Birth (mm-dd-yyyy) 11/11/1967 9. Current address CARA DUSANA 60/X 11. E-mail Address ivanindija@open.telekom.rs 12. Are you a U.S. Citizen? 13. Do you have permanent U.S. Resident status? 8. Place of Birth BELGRADE, Serbia 10. Phone Numbers Day Evening Cell Yes Yes No No If yes, provide number (112631830) 011/2631-830 (649263108) First Name IVAN Middle Name VUK

14a. U.S. Social Security Number (for U.S. Citizens/Permanent Residents) And / Or 14b. Country Identification Number 15. Are you legally eligible to work in this country? Yes No

If yes, Mission HR may require verification of eligibility. Please attach copies of all documentation that confirms your legal eligibility to work in this country (e.g., work permit, residency permit). If you are not sure if you need to submit proof of eligibility, contact the Missions HR office. 16.If hired, are there accommodations the Mission needs to provide so that you can perform all the essential functions and duties of the position? Yes No If yes, please explain

17. If you are applying for a position that includes driving a U.S. Government vehicle, do you have a valid drivers licence? Yes No If yes, Class / Type of License B If yes, have you operated a vehicle without incident for the past three years? Yes No

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18. What days are you available to work as part of a regularly scheduled work week? (Check all that apply) Sunday Monday Tuesday Wednesday Thursday Friday Saturday

19. Do any of your relatives or members of your household work for the United States Government? Yes No If yes, provide the details below. If you need more space, use an additional sheet of paper. (See instructions for Completing the DS-174 for the definition of relatives and members of household. Name Relationship Agency, Position and Location

U.S. CITIZEN ELIGIBLE FAMILY MEMBER (USEFM) AND U.S. VETERANS HIRING PREFERENCE

20. Are you claiming preference in hiring under U.S. law, including the Foreign Service Act of 1980, based upon your status as either a U.S. Citizen Eligible Family Member (USEFM) or U.S. Veteran? See Instructions for Completing the DS-174 for additional information about the USEFM and U.S. Veterans hiring preference. (Check only one) Yes, I am a U.S. Citizen EFM and also a U.S. Veteran Yes, I am a U.S. Citizen EFM Yes, I am a U.S. Veteran No, I am neither a U.S. Citizen, nor a U.S. Veteran

If claiming eligibility for U.S. Veteran preference, you must attach a copy of your most recent DD-214, Certificate of Release or Discharge from Active Duty. If claiming conditional eligibility for U.S. Veterans preference, you must submit proof of conditional eligibility.
EDUCATION 21. Graduate School Name of School, City, State, Country
Belgrade Business School BELGRADE REPUBLIC OF SERBIA

Dates Attended (mm-dd-yyyy) From 10/1/2008 To 9/1/2009

Graduate?

Degree / Diploma
BACHELOR'S DEGREE

Major Subject
Sales and Marketing

Yes No Graduate? Degree / Diploma

MERCHANDISE ECONOMIST

Undergraduate College / University Name of School, City, State, Country

HIGH BUSINESS SCHOOL BELGRADE REPUBLIC OF SERBIA

Dates Attended (mm-dd-yyyy) From 10/1/1989 To 6/18/1992

Major Subject
Foreign Trade

Yes No Graduate?

High School / GED or Country Equivalent Name of School, City, State, Country
I BELGRADE GYMNASIUM / I ZEMUN GYMNASIUM BELGRADE REPUBLIC OF SERBIA

Dates Attended (mm-dd-yyyy) From 9/1/1982

If no, highest grade level completed Yes

To

6/21/1986

No Graduate? Yes No Certificate / Diploma

Other, e.g Technical/Vocational School Name of School, City, State, Country

Dates Attended (mm-dd-yyyy) From To

Major Subject

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LICENSE, SKILLS, TRAINING, MEMBERSHIP, AND RECOGNITION 22. List professional licenses, certifications, typing/keyboard, computer skills, formal and on-line training, and other skills and abilities you consider relevant to the position. Please include the license or certification number. Attach a copy if the license or certification is a requirement of the position. If licensed in the U.S., please list the state of issuance. If licensed in another country, please list the province/state/region and country of issuance. (Use additional pages, as required). IN 1993. INTERNAL COURSE FOR SELLING OF BOOK-KEEPING SOFTWAREIN 1994. INTERNAL SEMINAR FOR SHIPPING AGENTS, CUSTOMS ADMINIST IN 2003. FACULTY OF ORGANIZATIONAL SCIENCES BUSINESS PLAN COU IN 2003. FACULTY OF ORGANIZATIONAL SCIENCES LEASING COURSE IN 2008. BELGRADE STOCK EXCHANGE - INVESTMENT FUNDS 23. List professional organizations, associations, awards, honors, fellowships, and publications you consider significant ASSOCIATION OF SCIENTISTS AND INVENTORS "BRAIN TRUST" MILITARY TRAINING - ARCHER, MESSENGER TO CHIEF OF POLITY GARRISON HEADQUARTERS - ONE YEAR; LANGUAGES 24. List your languages, the appropriate competency levels, and your primary/ first spoken/native language using the language standards below. You may only identify one primary/first spoken/native language. Languages Indicators Level I = Basic Knowledge Level II = Limited knowledge Level III = Good Working Knowledge Language SERBIAN ENGLISH SPANISH GERMAN Speak IV IV II II WORK EXPERIENCE Include all work experience, paid and voluntary. Start with your present or most recent work experience. When describing work, list specific duties/responsibilities and accomplishments. Include supervisory responsibilities and the number of employees supervised. Go into as much detail as possible for work experience that directly relates to the advertised position. Include all periods of unemployment and the reason. (Use additional pages, as required) 25a. Job Title (If U.S. Government, include the Series and Grade)
SALES AND MARKETING MANAGER

Level IV = Fluent Level V = Professional Translator / Interpreter

Read IV IV II III

Write IV IV II III

Primary Language? Yes Yes Yes Yes No No No No

From

7/13/2009 (mm-dd-yyyy)

To

06-21-2010 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 3600,00

Hours per Week

40

Employers Name and Address HUTP "ROYAL" D.O.O. KRALJA PETRA 56, BELGRADE
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Supervisors Name and Contact Information Name LJUBA DRAGOSLAVIC Phone Number 2910-955 E- mail Address AGENCIJA@HOTELROYAL.RS
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May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. SALES OF HOTEL CAPACITIES, SERVICES; CREATION OF MARKETING PLAN; CREATION OF TRAVEL PACKAGES, SIGHTSEEING TOURS, CRUISING AND TAILOR-MADE PACKAGES; Preparing promotional material in coordination with Management. PREPARING DOCUMENTS FOR PARTICIPATION IN TENDERS IN COORDINATION WITH PURCHASE DEPARTMENT; ACHIEVED INCREASE OF SALES FOR 30%; MAKING PERIODICAL REPORTS. Reason(s) for leaving. (Do not write N/A or Not applicable) TERMINATION OF CONTRACT 25b. Job Title (If U.S. Government, include the Series and Grade)
RETAIL MANAGER

From

9/1/2008 (mm-dd-yyyy)

To

2/1/2009 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 8400,00

Hours per Week

40

Employers Name and Address "Dufry" d.o.o. AERODROM NIKOLA TESLA 11180 BEOGRAD 59

Supervisors Name and Contact Information Name BALA KHRISHNAN Phone Number 22 86 442

E- mail Address BALAKHRISHNAN@RS.DUFRY.COM SERBIA May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. RESPONSIBLE FOR SALES, DISPLAY, MERCHANDISE OF GOODS; COORDINATION BETWEEN SUPERVISORS, STOCK DEPARTMENT, PURCHASE DEPARTMENT; PREPARING ACTION SALES IN COORDINATION WITH MARKETING DEPARTMENT; MAKING PERIODICAL REPORTS, STOCK LIST, SALES REPORT, USING MICROSOFT NAVISION APPLICATION. Reason(s) for leaving. (Do not write N/A or Not applicable) TERMINATION OF CONTRACT 25c. Job Title (If U.S. Government, include the Series and Grade)
MARKETING ASSISTANT

From

7/4/2004 (mm-dd-yyyy)

To

9/19/2008 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 12000,00

Hours per Week

40

Employers Name and Address EMBASSY OF INDIA BELGRADE LJUTICE BOGDANA 8 11040 BELGRADE

Supervisors Name and Contact Information Name SAIKAT SEN SHARMA Phone Number 266-1089 E- mail Address SSINDEMB@EUNET.RS

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. PREPARING SECTOR VISE MARKET SURVEYS, PRESENTATIONS; PREPARING PERIODICAL COMMERCIAL REPORTS; CORRESPONDING WITH INDIAN AND SERBIAN COMPANIES; ORGANISING TRADE EVENTS, PRESENTATIONS, ROUND TABLES, STAY / SUPPORT OF DELEGATION COMING FROM

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Reason(s) for leaving. (Do not write N/A or Not applicable) TERMINATION OF CONTRACT 25d. Job Title (If U.S. Government, include the Series and Grade)
CUSTOMS AGENT

From

2/1/1997 (mm-dd-yyyy)

To

6/30/1997 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 3600,00

Hours per Week

40

Employers Name and Address "STANKOM SPED" Kraljice Katarine 53 SERBIA

Supervisors Name and Contact Information Name LJUBISA CIRIC Phone Number 3531 701 E- mail Address INFO@STANKOM.RS

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. PREPARING DOCUMENTS FOR CUSTOM CLEARANCE OF GOODS; COORDINATION, ORGANIZATION OF TRANSPORT OF GOODS; CLASSIFICATION OF GOODS ACCORDING CUSTOMS TARIFF; Reason(s) for leaving. (Do not write N/A or Not applicable) DOWNSIZING REFERENCES 26. List three personal references who are not relatives or former supervisors who have knowledge of your work performance. Mission HR will obtain your permission before contacting any references. Name SAIKAT SEN SHARMA RADOVAN MANDIC SLADJANA ARANDJELOVIC Address or E-mail SSINDEMB@EUNET.RS MI@MONTINVEST.CO.R S info@euroliftgroup.com Telephone (2661089) 3081 302 3972 296 Occupation SECOND SECRETARY (HOC) PROCUREMENT DEPARTMENT HEAD OF BELGRADE OFFICE

SIGNATURE AND CERTIFICATION 27. I certify that, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete, and made in good faith. I understand that false or fraudulent information on or attached to this application may be grounds for not hiring me, or for terminations/dismissal after I begin work, and may be punishable by fine or imprisonment according to this countrys law or U.S. law. I understand that any information I voluntarily provide on or attached to this application may be investigated. Signature Date (mm-dd-yyyy) 6/12/2012

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DS-174 CONTINUATION SHEET WORK EXPERIENCE 25__. Job Title (If U.S. Government, include the Series and Grade)
AREA SALES MANAGER

From

1/1/1996 (mm-dd-yyyy)

To

1/1/1997 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 6000,00

Hours per Week

40

Employers Name and Address TRADE PLUS D.O.O.

Supervisors Name and Contact Information Name SLADJANA ARANDJELOVIC Phone Number 011/3446288 E- mail Address

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. EXPLORING MARKET OF HOUSEHOLD APPLIENCES; PREPARING LIST OF POTENTIAL CUSTOMERS; CONTACTS WITH CUSTOMERS, SENDING OFFERS, ORGANIZING OF TRANSPORT; MAKING PERIODICAL SALES REPORTS; FOLLOWING TENDERS REGARDING SUPPLY OF HOUSEHOLD APPLIANCES. INCREASE OF SALES WITHIN SIX MONTHS. Reason(s) for leaving. (Do not write N/A or Not applicable) DOWNSIZING OF COMPANY. DS-174 CONTINUATION SHEET WORK EXPERIENCE 25__. Job Title (If U.S. Government, include the Series and Grade)
PURCHASE AND SALES MANAGER

From

4/1/2003 (mm-dd-yyyy)

To

11/1/2003 (mm-dd-yyyy)

Salary per year in U.S. Dollars or Local Currency

USD 5000,00

Hours per Week

40

Employers Name and Address MONTINVEST A.D. CERNISEVSKOG 2A BELGRADE

Supervisors Name and Contact Information Name RADOVAN MANDIC Phone Number 3081-302 E- mail Address MI@MONTINVEST.CO.RS

May HR contact your current supervisor? Yes No Describe your major duties/responsibilities and accomplishments. PARTICPATING IN TENDERS FOR PURCHASE OF AIR-CONDITIONERS AND INTERIOR DECORATION MATERIALS; EXPLORING THE LOCAL MARKET; ESTABLISHING NEW CONTACTS; CONTACTS WITH REGULAR CUSTOMERS; ORGANIZING PRESENTATIONS OF GOODS; PURCHASE OF VARIOUS GOODS FOR THE COMPANY, (STATIONERY, CLEANING MATERIAL, SPECIAL WORK CLOTHES - uniforms, helmets, working gloves, etc. SIGNIFICANT SAVE OF COMPANY'S BUDGET THROUGH COMPENSATION AGREEMENT WITH OTHER COMPANIES.

Reason(s) for leaving. (Do not write N/A or Not applicable) DOWNSIZING

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