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Bataa Tumur
Bataa Tumur

The document is a 4-page curriculum vitae form for nominated personnel on a project. It requests personal details of the expert such as name, citizenship, education history and languages spoken. It also requires employment history details with descriptions of relevant work experience and tasks performed. The expert must certify that the information is correct and that they are not prohibited from working on ADB projects due to conflicts of interest, debarment or criminal convictions.

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Page 1 of 4 FORM TECH-5 CURRICULUM VITAE FOR NOMINATED PERSONNEL 1. Proposed Position: [only one expert shall be nominated for each position] ______________________________________________________________________ 2. Name of Entity: [Insert name of Consultant or sub-consultant entity proposing the expert] _______________________________________________________________ 3. Name of Expert: [Insert full name] _______________________________________ 4. Date of Birth: ________________________ Citizenship: ___________________ 5. Complete personal contact details: [Include complete address and telephone number/ email address] ___________________________________________________ 6. Education: [Indicate college/university and other specialized education of expert, giving names of institutions, degrees obtained, and dates of obtainment] ______________________________________________________________________ 7. Membership in Professional Associations: _____________________________ 8. Other Training: [Indicate significant training since degrees under “6. Education” were obtained] ______________________________________________________________ 9. Countries of Work Experience: [List countries where expert has worked in the last ten years] ________________________________________________________________ 10. Languages: [For each language indicate proficiency] Level of Proficiency (mother tongue, excellent, good, fair, poor) Language Speaking Reading Writing 11. Employment Record: [Starting with present position, list in reverse order every employment held by expert since graduation, giving for each employment (see format here below): dates of employment, name of employing organization, positions held.] From [Month, Year]: _______________ To [Month, Year]: ___________________ Employer: ______________________________________________ Positions held: ___________________________________________ From [Month, Year]: _______________ To [Month, Year]: ___________________ Employer: ______________________________________________ Positions held: ___________________________________________
Page 2 of 4 12. Detailed Tasks Assigned [List all tasks to be performed under this assignment] [Tasks relevant to the assignment described in “13. Work Undertaken”] 13. Work Undertaken that Best Illustrates Capability to Handle the Tasks Assigned [Among assignments involving the expert, indicate the following information for those that best illustrate the expert’s capability to handle the tasks listed in “12. Detailed Tasks Assigned”. Provide assignments from across the expert’s employment history where possible to establish a record of the expert’s specific experience.] Name of assignment or project: ____________________________________ Year: ____________________________________ Location: ____________________________________ Client: ____________________________________ Main project features: ____________________________________ Positions held: ____________________________________ Activities performed: ____________________________________ [Tasks relevant to the assignment described in “13. Work Undertaken”] Name of assignment or project: ____________________________________ Year: ____________________________________ Location: ____________________________________ Client: ____________________________________ Main project features: ____________________________________ Positions held: ____________________________________ Activities performed: ____________________________________
Page 3 of 4 14. Certification: I, the undersigned, certify to the best of my knowledge and belief: (i) this CV correctly describes my qualifications and my experience. (ii) I am not a current or former public sector employee of a government department or agency of the Beneficiary (including the Executing or Implementing Agency). ? If yes, declare relevant details including agency, role, and employment period: (iii) I am not a close relative (other than spouse) of a current ADB staff member. (iv) I am not a spouse of a current ADB staff member. ? If yes, declare the staff member: _____________________ (v) I am not a former ADB staff member or executive director or alternate executive director of its Board of Directors. ? If yes, I separated from ADB over 12 months ago: __________ (vi) I was not directly or indirectly involved in any part of the preparation of the terms of reference for this consulting services assignment. (vii) I will not be in a situation of actual, potential, or perceived conflict of interest by undertaking this assignment. ? If yes or unsure, please disclose details of the conflict: ___________ (viii) I am not debarred or temporarily suspended by ADB (ineligible for ADB engagement). (ix) I am not listed in the United Nations Security Council Consolidated List and I am not from a country which is prohibited to export goods to or receive any payments from the Beneficiary’s country by an act of compliance with a decision of the United Nations Security Council taken under Chapter VII of the Charter of the United Nations. (x) I am not, nor have I ever been, temporarily suspended, debarred, declared ineligible, or blacklisted by any country, any international organization, and/or any other development or donor agency. ? If so debarred, declared ineligible, temporarily suspended, or blacklisted, please state details (as applicable to each): □ Name of institution: ___________________ □ Period of debarment, ineligibility, or blacklisting (start and end date): _____ □ Reason for debarment, ineligibility, or blacklisting: _________________ (xi) I have not been charged or convicted of any criminal offense (including felonies and misdemeanors) or infractions or violations of ordinance that carry the penalty of imprisonment. ? If so charged or convicted, please state details (as applicable to each): □ Nature of the offense or violation: ________________ □ Court or area of jurisdiction: _______________ □ Resolution (i.e., dismissed; settled; convicted, duration of penalty): ______ □ Other relevant details: _____________ I understand that any misrepresentation that knowingly or recklessly misleads, or attempts to mislead, may lead to disqualification or dismissal, and/or the imposition of sanctions or other remedial actions by ADB.
Page 4 of 4 ___________________________________________________ Date: _________________ [Signature of expert] Day/Month/Year Page limit: Maximum of five (5) pages per CV (excluding part 14. Certification, which does not count toward the five-page limit)

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cv-format-new-or-replacement-202104.doc

  • 1. Page 1 of 4 FORM TECH-5 CURRICULUM VITAE FOR NOMINATED PERSONNEL 1. Proposed Position: [only one expert shall be nominated for each position] ______________________________________________________________________ 2. Name of Entity: [Insert name of Consultant or sub-consultant entity proposing the expert] _______________________________________________________________ 3. Name of Expert: [Insert full name] _______________________________________ 4. Date of Birth: ________________________ Citizenship: ___________________ 5. Complete personal contact details: [Include complete address and telephone number/ email address] ___________________________________________________ 6. Education: [Indicate college/university and other specialized education of expert, giving names of institutions, degrees obtained, and dates of obtainment] ______________________________________________________________________ 7. Membership in Professional Associations: _____________________________ 8. Other Training: [Indicate significant training since degrees under “6. Education” were obtained] ______________________________________________________________ 9. Countries of Work Experience: [List countries where expert has worked in the last ten years] ________________________________________________________________ 10. Languages: [For each language indicate proficiency] Level of Proficiency (mother tongue, excellent, good, fair, poor) Language Speaking Reading Writing 11. Employment Record: [Starting with present position, list in reverse order every employment held by expert since graduation, giving for each employment (see format here below): dates of employment, name of employing organization, positions held.] From [Month, Year]: _______________ To [Month, Year]: ___________________ Employer: ______________________________________________ Positions held: ___________________________________________ From [Month, Year]: _______________ To [Month, Year]: ___________________ Employer: ______________________________________________ Positions held: ___________________________________________
  • 2. Page 2 of 4 12. Detailed Tasks Assigned [List all tasks to be performed under this assignment] [Tasks relevant to the assignment described in “13. Work Undertaken”] 13. Work Undertaken that Best Illustrates Capability to Handle the Tasks Assigned [Among assignments involving the expert, indicate the following information for those that best illustrate the expert’s capability to handle the tasks listed in “12. Detailed Tasks Assigned”. Provide assignments from across the expert’s employment history where possible to establish a record of the expert’s specific experience.] Name of assignment or project: ____________________________________ Year: ____________________________________ Location: ____________________________________ Client: ____________________________________ Main project features: ____________________________________ Positions held: ____________________________________ Activities performed: ____________________________________ [Tasks relevant to the assignment described in “13. Work Undertaken”] Name of assignment or project: ____________________________________ Year: ____________________________________ Location: ____________________________________ Client: ____________________________________ Main project features: ____________________________________ Positions held: ____________________________________ Activities performed: ____________________________________
  • 3. Page 3 of 4 14. Certification: I, the undersigned, certify to the best of my knowledge and belief: (i) this CV correctly describes my qualifications and my experience. (ii) I am not a current or former public sector employee of a government department or agency of the Beneficiary (including the Executing or Implementing Agency). ? If yes, declare relevant details including agency, role, and employment period: (iii) I am not a close relative (other than spouse) of a current ADB staff member. (iv) I am not a spouse of a current ADB staff member. ? If yes, declare the staff member: _____________________ (v) I am not a former ADB staff member or executive director or alternate executive director of its Board of Directors. ? If yes, I separated from ADB over 12 months ago: __________ (vi) I was not directly or indirectly involved in any part of the preparation of the terms of reference for this consulting services assignment. (vii) I will not be in a situation of actual, potential, or perceived conflict of interest by undertaking this assignment. ? If yes or unsure, please disclose details of the conflict: ___________ (viii) I am not debarred or temporarily suspended by ADB (ineligible for ADB engagement). (ix) I am not listed in the United Nations Security Council Consolidated List and I am not from a country which is prohibited to export goods to or receive any payments from the Beneficiary’s country by an act of compliance with a decision of the United Nations Security Council taken under Chapter VII of the Charter of the United Nations. (x) I am not, nor have I ever been, temporarily suspended, debarred, declared ineligible, or blacklisted by any country, any international organization, and/or any other development or donor agency. ? If so debarred, declared ineligible, temporarily suspended, or blacklisted, please state details (as applicable to each): □ Name of institution: ___________________ □ Period of debarment, ineligibility, or blacklisting (start and end date): _____ □ Reason for debarment, ineligibility, or blacklisting: _________________ (xi) I have not been charged or convicted of any criminal offense (including felonies and misdemeanors) or infractions or violations of ordinance that carry the penalty of imprisonment. ? If so charged or convicted, please state details (as applicable to each): □ Nature of the offense or violation: ________________ □ Court or area of jurisdiction: _______________ □ Resolution (i.e., dismissed; settled; convicted, duration of penalty): ______ □ Other relevant details: _____________ I understand that any misrepresentation that knowingly or recklessly misleads, or attempts to mislead, may lead to disqualification or dismissal, and/or the imposition of sanctions or other remedial actions by ADB.
  • 4. Page 4 of 4 ___________________________________________________ Date: _________________ [Signature of expert] Day/Month/Year Page limit: Maximum of five (5) pages per CV (excluding part 14. Certification, which does not count toward the five-page limit)