WORLD HEALTH ORGANIZATION PERSONAL HISTORY

IMPORTANT Do not write in this space

Please answer each question completely. Type or print

in dark ink. All relevant information should be included on this
form, but if necessary additional pages of similar size may be
Attach recent attached. You may be requested to supply documentary
photograph here evidence supporting the statements below. Do not attach any
such documents now.
If your qualifications meet the Organization’s needs, this
form will be retained in our active files for two years. Please
keep us advised of any changes in address during this period. Date
received:

1 Family name (surname) First/other names Title Sex Maiden name if any
Jiero Syilvia MD Female Syilvia
Present Country of Nationality Date of birth: Day Month Year Place and country of birth
Indonesia 09 February 1987 Makassar, Indonesia
Has your nationality ever been Yes
changed or is it in the process v No (explain)
of being changed?
Address to which correspondence should be sent Telephone
Jl. Batanghari No. 20, Cideng Barat, 081234567685
Fax
RW 02 RT 05, Post Code 10150
Jakarta Pusat e:Mail dr.syilvia.jiero@gmail.com
2 If you apply for a vacancy
For what type(s) of work do you National consultant-Antimicrobial resistance announcement state no. or
wish to be considered? reference

Check period(s) of employment Fixed-term (one Short-term (less than

you would accept v year or more) one year)
Employment by an international
Organization may require
assignment and travel to any area. If
you have any disabilities or
No
reservations, which may restrict your
activities in this respect, give details.
Employment is subject to medical
examination.

3 EDUCATION. Give full details in chronological order. Give the exact name of the institution and title of degrees/certificates in the original
language. Exclude primary/secondary school if you have a university degree or equivalent. Include courses and postgraduate
studies in your professional or related field and specially all training and qualification in teaching/learning methodology.
From To Certificates, Main field(s) or
Institution (name, place)
Month/year Month/year Degrees obtained Subject(s) of study
2004 2010 Pelita Harapan University MD Medicine
2011 2015 University of Sumatera Utara Pediatrician Pediatric
2011 2014 University of Sumatera Utara Master of Medicine (Pediatric) Pediatric

4 LANGUAGE KNOWLEDGE Type an asterisk next to your

SPEAK READ WRITE
mother tongue
For languages other than mother tongue, enter appropriate
number from code below to indicate level of your language English 1 1 3
knowledge
French
CODE: 1. Limited conversation, reading of newspapers,
routine correspondence.
2. Engage freely in discussions, read and write
more difficult material.
3. Speak, read and write (nearly) as in mother
tongue.

WHO 1.1E PER/PPR/PRC 6/2001 Page 1 of 4

5.1 EMPLOYMENT RECORD. Starting with your present or most recent post, list in reverse order positions held.
Attach additional pages if necessary.

PRESENT OR MOST RECENT EMPLOYMENT

Period (Month/Year) Total annual professional income Exact title of your post/duty station

From To Starting Most recent

9/2018 9/2019 1.02 billion 1.02 billion Pediatrician
Give details of substantial allowances or fringe benefits (if any) Number and type of employees supervised by you, if any

20 million No

Name and address of employer Name and title of supervisor

RS Provita Jayapura dr. Boy Eduward Richard Wajong
Jl. Samratulangi No 39, APO Kel. Bhayangkara, Kec. Jayapura Utara Jl. Samratulangi No 39, APO Kel. Bhayangkara, Kec. Jayapura Utara
Kota Jayapura (Dormitory RS Provita) Kota Jayapura (Dormitory RS Provita)

Reason for wishing to change employment

The contract period was over. Also i want to get out of my comfort zone and see job
oppurtunities in other fields
Description of your duties and responsibilities:

Providing medical care to people ranging in age from newborns to young adults
Examining, diagnosing, and treating children with a wide variety of injuries and illness
Administer many immunizations that are available to protect children from diseases
Monitoring a child’s growth and development from birth to adulthood

Have you any objections

to our making inquiries of Are you now in
your present employer? Yes v No
Government employ?
Yes v No

If you are offered an appointment,

how soon thereafter can you
report for duty? 2x24 hours
5.2 Period (Month/Year) Total annual professional income Exact title of your post/duty station

From To Starting Final Pediatrician

9/2017 9/2018 120 million 120 million
Give details of substantial allowances or fringe benefits (if any) Number and type of employees supervised by you, if any

No No
Name and address of employer Name and title of supervisor
RSUD Kabupaten Sorong
dr. Jerry Nikijukuw, SpB
Jl. Kesehatan No 36, Kampung Baru, Sorong, Papua Barat
RSUD Kabupaten Sorong
Jl. Kesehatan No 36, Kampung Baru, Sorong, Papua Barat
Reason for leaving

For better income

Description of your duties and responsibilities:

Providing medical care to people ranging in age from newborns to young adults
Examining, diagnosing, and treating children with a wide variety of injuries and illness
Administer many immunizations that are available to protect children from diseases
Monitoring a child’s growth and development from birth to adulthood

Page 2 of 4
5.3 Period (Month/Year) Exact title of your post/duty station Number and type of employees supervised by you, if any
From To

Name and address of employer Name and title of supervisor

Reason for leaving

Description of your duties and responsibilities:

5.4 Period (Month/Year) Exact title of your post/duty station Number and type of employees supervised by you, if any
From To

Name and address of employer Name and title of supervisor

Reason for leaving

Description of your duties and responsibilities:

5.5 Period (Month/Year) Exact title of your post/duty station Number and type of employees supervised by you, if any
From To

Name and address of employer Name and title of supervisor

Reason for leaving

Description of your duties and responsibilities:

Page 3 of 4
 Marital status
6
Length of stay at in country Indonesia Married Divorced
present place of
residence
in city
Jayapura v Single Widow(er) Separated

7 Give names of spouse and any dependants:

Name Date of Birth Relationship Name Date of Birth Relationship
December 13th
Linda Kustanto 1961 Mother

Give details of any near relatives who are employed by WHO or other international organizations.
Name Relationship International Organization

8
If you have ever been found guilty of
the violation of any law (except minor No
traffic violations) give full particulars.

9 REFERENCES. List three persons not related to you who are familiar with your character and qualifications.
Do not repeat names of supervisors listed under “Employment record”.
Name Full address (telephone, fax, e-mail if known) Occupation, business, title

08126024392
Ayodhia Pitaloka Pasaribu Pediatrician
ayodhia_pitaloka@yahoo.com

081291340908
Rina A. C. Saragih Pediatrician
rina.amalia.srgh@gmail.com

0812 88332251
Jeng Yuliana General Physician
jeng.yuliana@gmail.com
10

Computer skills
State any additional skills (including
computer skills) and relevant facts
which might help to evaluate your
application.

If you are now holding or if you have

held a fellowship, state place, date and No
duration of fellowship, and by whom
awarded.

- ATTACH LIST OF YOUR SIGNIFICANT PUBLICATIONS OR PAPERS IN

Can copy of your personal history form be transmitted to: YOUR PROFESSIONAL FIELD AND NAMES OF JOURNAL, ETC. IN
WHICH THEY APPEARED (DO NOT ATTACH THE PUBLICATIONS
THEMSELVES).
v other UN Org. National govt. other
- ATTACH LIST OF PROFESSIONAL SOCIETIES OF WHICH YOU ARE A
(Including yours)
MEMBER AND ACTIVITIES IN CIVIL, PUBLIC OR INTERNATIONAL
AFFAIRS.
11 I certify that the statements made by me on this form are true, complete and correct. I understand that any false statement or required
information withheld may provide grounds for the withdrawal of any offer of appointment or the cancellation of any contract of employment with the
Organization.
Date and place Signature
Jayapura, October 8 2019
Home address (if different from address as given on page 1) Telephone
081234567685
Jl. Batanghari No. 20, Cideng Barat, RW 02 RT 05 Fax
Post Code 10150, Jakarta Pusat e:Mail dr.syilvia.jiero@gmail.com
Page 4 of 4