Do not Write in this Space

INSTRUCTIONS

Please answer each question

clearly and completely. Type
or print in ink. Read carefully
and follow all directions.

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

Memon Muhammad Suleman -
2. Date of birth 3. Place of birth 4. Nationality at birth 5. Present nationality 6. Sex
12th March 1960 Tharushah Pakistani Pakistani Male
Distt: Naushero Feroze
Sindh
7. Height 8. Weight 9. Marital status
5 feet 68 Kg Single [ ] Married [ √ ] Separated [ ] Widow(er) [ ] Divorced [ ]
10. Entry into United Nations service might entail 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 you ability to engage
in air travel?
YES [ ] NO [ √ ] If "yes", please describe.
11. Permanent address 12. Present address 13. Permanent telephone no
Memon Muhalla, P.O. Tharushah, Distt: 1. Khasra No. 2048, Malak Town 0092-333-5175403
Naushero Feroze Sindh. Tarlai Kalan; Islamabad.
2. Directorate of Malaria Control, 14. Present telephone no
Allergy centre, N.I.H, Islamabad
0092-333-5175403
15. Have you any dependants?
YES [ √ ] NO [ ] If the answer is "yes", give the following information:
NAME Date of Relationship NAME Date of Relationship
Birth Birth
Fozia 02-03-1964 Wife
Muhammad Arslan 02-09-1991 Son
Muhammad Armghan 15-01-1994 Son
16. Have you taken up legal permanent residence 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 nationality? YES [ ] NO [ √ ]
If answer is "yes", explain fully :
18. Are any of your relatives employed by a public international organization ? YES [ ] NO [ √ ]
If answer is "yes", give the following information ?
NAME Relationship Name of international organization

19. What is your preferred field of work ? Health

20. Would you accept employment for less 21. Have you previously submitted an application for employment with U.N. ? If
than six months ? YES [ √ ] NO [ ] so, when ? No
22. KNOWLEDGE OF LANGUAGES. What is your mother tongue ? Sindhi
READ WRITE SPEAK UNDERSTAND
OTHER Easily Not easily Easily Not easily Fluently Not Easily Not easily
LANGUAGES fluently
English √ √ √ √
Urdu √ √ √ √

23. For clerical grades only List any office machines or equipment you can use
Indicate speed in words per minute
Other languages
English French
Typing
Shorthand
 P.11
24. EDUCATION. Give full details - N.B. Please give exact name of institution and titles of degrees in original language.
Please do not translate or equate to other degrees.
A. University or equivalent
Years attended
Name , place and country from to Degrees and academic Main course of study
distinctions
Quaid –i-Azam University 1996 1997 Master of Science in Public Epidemiology, Mother &
Islamabad, Pakistan Health (M.P.H) Child Health, Community
medicine. Research
proposals.
University of Sindh; Jamshoro / 1978 1982 Bachelor of Medicine and Medicine, surgery,
Hyderabad Sindh Pakistan Bachelor of Surgery (M.B.B.S) community medicine

B. Schools or other formal training or education from age 14 (e.g. high school, technical school or apprenticeship)
Years attended
Name, place and country Type from to Certificates or diplomas
obtained
Board of Intermediate & Secondary Higher Secondary School 1976 1977 Higher Secondary School
Education Hyderabad Certificate
Board of Intermediate & Secondary Secondary School 1974 1975 Secondary School Certificate
Education Hyderabad

25. List professional societies and activities in civic, public or international affairs
Registered with Pakistan Medical and Dental Council. Islamabad
Technical Member Shahbaz welfare Foundation Hyderabad. Sindh

26. List any significant publications you have written (Do not attach)
• Prevalence of snake bite in Thar desert of Sindh, published in journal of Pakistan Medical Association Vol-48,
No.10, October 1998 (page # 306-308)
• Annual Feed back reports (ICT) on LHW-HMIS for the years 2001 to 2006.
• Report on immunization coverage in children <05 years of age in ICT during the year 2001-2002 , 2002-03 and
2004-05.

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.
From To Salaries per annum Exact title of your post :
Month/Year Month/Year Starting Final
March 2007 Present BPS-18 BPS-18 Epidemiologist
Name of employer : Directorate of Malaria Control, Federal Type of business:
Ministry of Health, Islamabad Surveillance, Research, Planning, data
management.
Address of employer: Name of supervisor : Muhammad Aslam
Allergy Centre, N.I.H, Chak Shahzad, Islamabad.
Number and kind of employees Reason for leaving:
supervised by you : 06 To gain the
( Provincial data mangers) working
experience of
International
Agencies.
 DESCRIPTION OF YOUR DUTIES
• Focal person Monitoring & Evaluation unit of Directorate of Malaria Control.
• Member technical team of Directorate of Malaria Control.
• Worked with the consultants of TAMA to develop the M&E tools regarding Malaria
• Monitoring & Evaluation of Programme components and their implementation and communication with relevant
Government, NGOs, private and development partners.
• Contributed in the development of Case management Guidelines & Microscopy training Manual with technical
assistance of TAMA for the Directorate
• Participated in the development of project proposal for GFATM- Malaria Component Round -7
• Participated in the preparation of PC-I, ROLL BACK MALARIA IN PAKISTAN (2008-2012).
• Prepared the report (malaria component) for Annual Report of Director General Health-2007 and 2008
• Compilation of data and dissemination of information to World Health Organization for Annual Surveillance report
and World Malaria reports for the year 2008 &2009..
• National master trainer of Malaria case management and Malaria Information System.
• Preparation of technical papers / reports / summaries.
• Co investigator for the WHO funded, “ Antimalarial drug efficacy monitoring survey 2008-09”
• Working as Officer incharge Administration, Directorate of Malaria Control. Pakistan.
• Worked as Drawing and Disbursing officer, PSDP, Rollback malaria, Pakistan.
• Working as focal person, and preparation of replies of parliamentary
business.
• Focal Person for the monitoring the efficacy of 2nd line Anti malaria drug (Artemether+Lumifantrine) at 4 sentinel
sites under GFATM Round 7.

From To Salaries per annum Exact title of your post :

Month/Year Month/Year Starting Final
June 2006 February 2007 BPS-18 BPS-18 District Coordinator*
July 2000 November 2004 BPS-18 BPS-18 District Coordinator**
March 1996 January 2000 BPS-18 BPS-18 District Coordinator**
Name of employer : National Programme for Family Planning Type of business: Monitoring & Supervision, training,
and Primary Health care, Islamabad Capital Territorry, Logistic management & Surveillance
Islamabad.
Address of employer : Name of supervisor :Dr. Fazal-e-maula
Office of the District Health officer, F-8 Markaz. Islamabad Number and kind of Reason for leaving:
employees *Selected by the
supervised by you : Federal Public Service
12 (Programme Officer & Commission for
Lady Health Supervisors) Ministry of Health
**Transfer
DESCRIPTION OF YOUR DUTIES
• National Master trainer for LHSs & LHWs trainings.
• Member of technical team of Federal PHC Unit for the development of various training manuals.
• Preparation and implementation of plan of Action regarding the selection, verification & training of Lady Health
Workers & Lady Health Supervisors of National programme in the rural community of District Islamabad.
• Supervise and monitored the activities of the field force.
• Providing the logistic support under Logistic management information with coordination of Federal Programme
management Unit to LHWs for onward distribution to the target population
• Supervision & monitoring the National Programme.
• Collection, analysis interpretation and reporting the LHWs-HMIS data at various level of implementation.
• Strengthening the reproductive health service delivery at district and union council level and developing the system
of knowledge sharing by using standard reporting tools and information technology amongst health care providers
and other stake holders.

From To Salaries per annum Exact title of your post :

Month/Year Month/Year Starting Final
February 2005 May 2006 BPS-18 BPS-18 Assistant District Health Officer
Name of employer : District Health Officer Type of business : Assistance to District Health
officer
Address of Employer : Name of supervisor : Dr. Fazal-e-maula
Office of the District Health officer, F-8 Markaz. Islamabad Number and kind of Reason for leaving:
employees
 supervised by you : Transfer
40 (Medical &paramedical
Staff of RHCs / BHUs
DESCRIPTION OF YOUR DUTIES
• Assisted and supported the DHO to carry out all the health related activities in the District.
• Worked as focal person, Polio eradication initiative for ICT, and Incharge Polio Surveillance System.
• Planned, organized and conducted the Health Management information System training courses for the Health
care providers (Medical Officers & Para medics) of ICT.
• Supervised and monitored the Expanded Programme on Immunization in Islamabad District.
• Worked as Administration incharge.
• Worked as DDO, Health Department ICT Islamabad.
• Supervision & monitoring of FLCFs.
• Designing and implementing the public health projects in ICT e.g prevention and Control of Avian Influenza,
epidemic investigation of Diarrheal Diseases.\

From To Salaries per annum Exact title of your post :

Month/Year Month/Year Starting Final
December 2004 January 2005 BPS-18 BPS-18 District Health Officer (on current charge basis)
January 2000 June 2000 BPS-18 BPS-18 District Health Officer (on current charge basis)
Name of employer : Director Health / Deputy commissioner Type of business : Provision of preventive, curative,
Islamabad Capital Territtory Islamabad. rehabilitative and referral services to the Rural
population of District Islamabad
Address of employer : Name of supervisor : Chaudhry Muhammad Ali
Office of the Deputy Commissioner, F-8 Markaz. Islamabad Number and kind of employees Reason for leaving:
supervised by you : 45 (Medical Additional
& Paramedical staff, ADHO, Assignment
Distt:coordinator) (temporary)
DESCRIPTION OF YOUR DUTIES
• Planning and Implementation of the preventive, promotive, curative and rehabilitative interventions for the rural
population of Islamabad through the net work of Lady Health Workers and First level care facilities in the rural
areas of Islamabad Capital Territory.
• Supervised & monitored the health care to the Earth quick affected population stayed in various camps in
Islamabad.
• Prepared the plan of Action for the National Immunization days (Anti polio campaign) for the children less than 05
years of age.
• Organized the training of Lady Health Workers & Supervisors in Primary Health care.
• Supervised & monitored the sale of drugs through drug sale points, by quality assurance mechanism and
implemented the Drug Act.

From To Salaries per annum Exact title of your post :

Month/Year Month/Year Starting Final
July 1988 March 1996 BPS-17 BPS-18 Medical Officer
Name of employer : District Health Officer Type of business : Preventive & curative Services at
RHCs / BHUs
Address of employer : Name of supervisor :
Office of the District Health officer, F-8 Markaz. Islamabad Number and kind of employees Reason for leaving:
supervised by you : 4-8 Trancfer
(Paramedical staff)
DESCRIPTION OF YOUR DUTIES
• Provided the preventive, promotive, curative & rehabilitative services to the rural community of Islamabad through
the net work of RHCs and BHUs.
• Arranged various Health Education Sessions for the population to create the awareness for preventive and early
health seeking behavior.
• Conducted various training workshops for Para medical staff in collaboration with International and National
partners.
• Provided the medical coverage to the participants of Muharram-ul-Haram procession.
28. Have you any objections to our making inquiries of you present employer ? YES [ ] NO [ √ ]
29. Are you now, or have you ever been, a permanent civil servant in your government's employ ? YES [ ] NO [√ ]
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 supervisor listed under item 27
FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION
1. Dr. Zahid Larik Ministry of Health, C- Block, Pak Deputy Director General (P&D)
Secretariat, Islamabad
2.Dr. Altaf Bosan EPI Programme, N.I.H, Chak Shahzad, National Programme Manager
Islamabad.
3.Dr. Muhammad Najeeb Durrani Epidemic Investigation cell, N.I.H, W.H.O Surveillance Officer
Chak Shahzad Islamabad
31. State any relevant facts. Include information regarding any residence outside the country of your nationality.

No any relevant facts

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

DATE: 9th September 2010 SIGNATURE :