HR MINI MASTER REGISTRATION FORM
NOTE: This form is to be used by non-staff individuals including meeting participants and staff administered by other agencies.

Instructions:
1.	Please answer each field completely. Note BOLD fields are Mandatory. TYPE or PRINT in dark ink.
2.	Please attach one of the following official supporting documents: copy of passport, copy of birth certificate, copy of state ID.

Part A – General Data		
Title (Mr./Mrs./etc):	     		
First Name (as in Government ID):	     		
Middle Name (as in Government ID):	     		
Last Name (as in Government ID):	     		
Have you worked with the UN in the past?	Yes       No 	If yes, please provide Index Number	     		
Date of Birth (dd/mm/yyyy):	     		
Place of Birth (Country):	     	 (City):	     		
Gender:	Male       Female  		
Nationality:	     		
Email Address:	     		
Telephone Number:	     		
Address:	     		
     	     	     		
(City)	(Zip Code)	(Country)		
ID Number: (Passport or other)	     		
ID Date of Issue (mm/dd/yyyy):	     	ID Valid to date	     		
ID Place of Issue:	     		
ID Country of Issue:	     		

Part B – Banking Data	
Account Title:	     	(Refer #1)	
Currency of payment:	     	(Refer #2)	
Name of Bank:	     		
Address of Bank:	     		
	     	     	     		
	(City)	(Zip Code)	(Country)		
Bank ID number:	     	(Refer #3)	
Account # or IBAN:	     		
Currency of Account:	     		
Type of Account:	Checking 	OR	Savings 	(Refer #4)	
Routing Instructions	     	(Refer #5)	

Part C – Certification by Non Staff/External Individual	
Full Name: 	     	
By checking this box I certify that the above information is accurate:		Date (mm/dd/yyyy):	     	

Part D – To be filled by HR Mini Master Administrator	
Personnel Subarea (Duty Station) of engagement/meeting:	     		
Personnel Area (Country) of engagement/meeting:	     		
Effective date (dd/mm/yyy):	     		
Name & Signature
(HR Mini Master Administrator)	     		
Date (mm/dd/yyyy):