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International Human Rights Commission

Peacemaker Force > Chaiplans

ICA CHAPLAIN APPLICATION FORM

A-PERSONAL INFORMATION

Color copy, legible, full page visible

Pass size photo ( min. 300 dpi)

Pass size photo ( min. 300 dpi)

Pass size photo ( min. 300 dpi)



















B- EDUCATIONAL BACKGROUND
For each degree please specify the following data:




LANGUAGES
Complete the following table for all languages known other than the mother tongue *




Complete the following table for all languages known other than the mother tongue, using only the Number corresponding to the level attained.
5: fluent, high level of accuracy, near mother-tongue competency;
4: very good, ease of usage, few errors;
3: good, some difficulty, fair number of errors;
2: some knowledge, difficulties, many errors;
1: very basic knowledge
0: mistakenly
Level



















































































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Color copy, legible, full page visible




Color copy, legible, full page visible




Color copy, legible, full page visible


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C-DATA DOWNLOAD FOR INFORMATION DOWNLOADING DIRECTLY FROM A PERSON

II hereby apply for membership in the Interpol Center USA Chaplain Corps under the Peacemaker Forces IHRC Corporation and undertake to abide by its statutes and bylaws.

I hereby declare that I have no criminal record and that no criminal investigation or proceedings are pending against me.


FRANÇAIS
Je déclare par la présente, aux fins de l'article 13 du Règlement Général sur la Protection des Données (UE) 2016/679 du Parlement européen et du Conseil (RGPD), que je donne mon consentement au traitement de mes données personnelles contenues dans le présent formulaire de demande, dans le seul but de la collecte et de l'intégration dans la base de données de ladite procédure, et pour la durée nécessaire, dans le cadre de la finalité pour laquelle elles sont collectées.

ENGLISH
I hereby declare, for the purposes of Article 13 of the General Data Protection Regulation (EU) 2016/679 of the European Parliament and of the Council (GDPR), that I give my consent to the processing of my personal data contained in this application form, for the strict purpose of collection and integration into the database of said procedure, and for the period of time necessary within the scope of the processing purpose for which they are collected.

ESPAÑOL
Por la presente declaro, a los efectos del artículo 13 del Reglamento General de Protección de Datos (UE) 2016/679 del Parlamento Europeo y del Consejo (RGPD), que doy mi consentimiento al tratamiento de mis datos personales contenidos en el presente formulario de solicitud, con la estricta finalidad de su recogida e integración en la base de datos de dicho procedimiento, y durante el plazo necesario, en el ámbito de la finalidad del tratamiento para la que se recogen.

DEITCH
Hiermit erkläre ich im Sinne von Artikel 13 der Datenschutz-Grundverordnung (EU) 2016/679 des Europäischen Parlaments und des Rates (DSGVO), dass ich meine Zustimmung zur Verarbeitung meiner in diesem Antragsformular enthaltenen personenbezogenen Daten zum ausschließlichen Zweck der Erfassung und Integration in die Datenbank des genannten Verfahrens und für den erforderlichen Zeitraum im Rahmen des Verarbeitungszwecks gebe.

ITALIANO
Con la presente dichiaro, ai fini dell'articolo 13 del Regolamento Generale sulla Protezione dei Dati (UE) 2016/679 del Parlamento Europeo e del Consiglio (GDPR), di dare il mio consenso al trattamento dei miei dati personali contenuti nel presente modulo di domanda, per la stretta finalità di raccolta e integrazione nella banca dati della suddetta procedura, e per il periodo di tempo necessario nell'ambito della finalità per la quale vengono raccolti.

PORTUGUÊS
Declaro, para os efeitos do artigo 13.º do Regulamento Geral de Proteção de Dados (UE) 2016/679 do Parlamento Europeu e do Conselho (RGPD), que dou o meu consentimento para o tratamento dos meus dados pessoais constantes do presente formulário de candidatura, para a estrita finalidade de recolha e integração na base de dados do referido procedimento, e pelo período de tempo necessário, no âmbito da finalidade para a qual são recolhidos.




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