OMB Control No.

0412-0520; Expiration Date: 02/28/2014

CONTRACTOR EMPLOYEE BIOGRAPHICAL DATA SHEET

1. Name (Last, First, Middle) Mois s! Crimil"o! #o$ren%o (. Emplo)ee's *""ress (include ZIP code) Mozambique, Maputo, George Dimitrov, Av. 04 de Outubro Rood: Nossa Sen ora das Neves ! "# $asa n% "& 8. 3elep4one N$m+er (include area code) '#() )#*4)0004 5. ,la&e o1 Birt4 Maputo 2. Contra&tor's Name 4. Contra&t N$m+er .. ,ropose" /alar) 5. ,osition -n"er Contra&t 0. D$ration o1 *ssi2nment

10. Citi6ens4ip 7If non-U.S. citizen, give visa status) Mozambi+an

11. Names! *2es! an" 8elations4ip o1 Depen"ents to *&&ompan) 9n"i:i"$al to Co$ntr) o1 *ssi2nment ,e-vin $. Mois.s, 0/ Sun. ,ansune $. Mois.s, 0# Sun. Orbina da 0vone $. Mois.s, 0# Sun 0vone Arna-do 1a+ ane, #4, 1i2e. 12. EDUCATION (include all college or university degrees) N*ME *ND #OC*39ON O; 9N/393-39ON E"$ar"o Mon"lane -ni:ersit) Map$to 0nstituto 0nd6stria- e $ormer+ia- Armando 3mi-io Guebuza 7 Maputo 8e-e-uana $is+o 7 $entro de 0n2ormati+a da <3M 14. EMPLOYMENT HISTORY 1. 2. M*<O8 3ngen aria 0n2orm4ti+a 9.+ni+o M.dio de :rograma+ao de Sistemas =undamentos de Roteador e Roteamento DE=8EE #% Ano ;% $$NA D*3E 10/08/20 10 13. LANGUAGE PROFICIENCY (see Instruction on Page ) ,ro1i&ien&) ,ro1i&ien&) #*N=-*=E /pea>in2 8ea"in2 0ng-5s :ortugues 5// 5// 4// 5/8 5/8 4/8

=i:e last t4ree 7(? )ears. #ist salaries separate 1or ea&4 )ear. Contin$e on separate s4eet o1 paper i1 re@$ire" to list all emplo)ment relate" to "$ties o1 propose" assi2nment. /alar) "e1inition A +asi& perio"i& pa)ment 1or ser:i&es ren"ere". Ex&l$"e +on$ses! pro1it-s4arin2 arran2ements! &ommissions! &ons$ltant 1ees! extra or o:ertime Bor> pa)ments! o:erseas "i11erential or @$arters! &ost o1 li:in2 or "epen"ent e"$&ation alloBan&es. ,O/939ON 393#E EM,#OCE8'/ N*ME *ND *DD8E// ,O9N3 O; CON3*C3 D3E#E,EONE F 0n2o73-e+tri+a 0n2o73-e+tri+a 0n2o73-e+tri+a Dates o1 Emplo)ment (M!"!#) ;rom 01/(1/201( 0">;">#0"# 04/01/2011 3o 12/(1/201( "#>;">#0"# 12/(1/2011 *nn$al /alar) Dollars (!058.00 (!58..00 2!241.00

9.+ni+o de 0n2orm4ti+a 9.+ni+o de 0n2orm4ti+a 9.+ni+o de 0n2orm4ti+a

15. SPECIFIC CONSULTANT SERVICES (give last t$ree (%) years) /E8G9CE/ ,E8;O8MED 16. CERTIFICATION: /i2nat$re o1 Emplo)ee EM,#OCE8'/ N*ME *ND *DD8E// ,O9N3 O; CON3*C3 D3E#E,EONE F Dates o1 Emplo)ment (M!"!#) ;rom 3o Da)s at 8ate Dail) 8ate 9n Dollars

To t ! "!#t o$ %& '(o)*!+,!- t ! ."o/! $.0t# .# #t.t!+ .1! t12! .(+ 0o11!0t. Date

13. CONTRACTOR4S CERTIFICATION (&o 'e signed 'y res(onsi'le re(resentative of )ontractor) Contra&tor &erti1ies in s$+mittin2 t4is 1orm t4at it 4as ta>en reasona+le steps 7in a&&or"an&e Bit4 so$n" +$siness pra&ti&es? to :eri1) t4e in1ormation &ontaine" in t4is 1orm. Contra&tor $n"erstan"s t4at -/*9D ma) rel) on t4e a&&$ra&) o1 s$&4 in1ormation in ne2otiatin2 an" reim+$rsin2 personnel $n"er t4is &ontra&t. 34e ma>in2 o1 &erti1i&ations t4at are 1alse! 1i&titio$s! or 1ra$"$lent! or t4at are +ase" on ina"e@$atel) :eri1ie" in1ormation! ma) res$lt in appropriate reme"ial a&tion +) -/*9D! ta>in2 into &onsi"eration all o1 t4e pertinent 1a&ts an" &ir&$mstan&es! ran2in2 1rom re1$n" &laims to &riminal prose&$tion. /i2nat$re o1 Contra&tor's 8epresentati:e Date

*9D 1420-10 704/2000?

,a2e 1 o1 2

9N/38-C39ON
9n"i&ate )o$r lan2$a2e pro1i&ien&) in +lo&> 1( $sin2 t4e 1olloBin2 n$meri& 9ntera2en&) #an2$a2e 8o$n"ta+le le:els 7;orei2n /er:i&e 9nstit$te #e:els?. *lso! t4e 1olloBin2 pro:i"es +rie1 "es&riptions o1 pro1i&ien&) le:els 2! (! 4! an" 5. H/I in"i&ates spea>in2 a+ilit) an" H8I in"i&ates rea"in2 a+ilit). ;or more in-"ept4 "es&ription o1 t4e le:els re1er to -/*9D Ean"+oo> 28 or s$perse"in2 poli&) "ire&ti:e. 2. #imite" Bor>in2 pro1i&ien&) / 8 (.

*+le to satis1) ro$tine spe&ial "eman"s an" limite" Bor> re@$irements.

/$11i&ient &ompre4ension to rea" simple! a$t4enti& Britten material in a 1orm e@$i:alent to $s$al printin2 or t)pes&ript on 1amiliar s$+Je&ts Bit4in 1amiliar &ontexts.

=eneral pro1essional pro1i&ien&) / 8 *+le to spea> t4e lan2$a2e Bit4 s$11i&ient str$&t$ral a&&$ra&) an" :o&a+$lar) to parti&ipate e11e&ti:el) in most 1ormal an" in1ormal &on:ersations on pra&ti&al! so&ial! an" pro1essional topi&s. *+le to rea" Bit4in a normal ran2e o1 spee" an" Bit4 almost &omplete &ompre4ension o1 a :ariet) o1 a$t4enti& prose material on $n1amiliar s$+Je&ts.

4. / 8 5. / 8

*":an&e" pro1essional pro1i&ien&) *+le to $se t4e lan2$a2e 1l$entl) an" a&&$ratel) on all le:els normall) pertinent to pro1essional nee"s. *+le to rea" 1l$entl) an" a&&$ratel) all st)les an" 1orms o1 t4e lan2$a2e pertinent to pro1essional nee"s. ;$n&tional nati:e pro1i&ien&) /pea>in2 pro1i&ien&) is 1$n&tionall) e@$i:alent to t4at o1 a 4i24l) arti&$late Bell-e"$&ate" nati:e spea>er an" re1le&ts t4e &$lt$ral

stan"ar"s o1 a &o$ntr) B4ere t4e lan2$a2e is nati:el) spo>en.

8ea"in2 pro1i&ien&) is 1$n&tionall) e@$i:alent to t4at o1 t4e Bell-e"$&ate" nati:e rea"er.

,*,E8KO8L 8ED-C39ON *C3 9N;O8M*39ON

34e in1ormation re@$este" +) t4is 1orm is ne&essar) 1or pr$"ent mana2ement an" a"ministration o1 p$+li& 1$n"s $n"er -/*9D &ontra&ts. 34e in1ormation 4elps -/*9D estimate o:erseas lo2isti& s$pport an" alloBan&es! t4e e"$&ational in1ormation pro:i"es an in"i&ation o1 @$ali1i&ations! t4e salar) in1ormation is $se" as a means o1 &ost monitorin2 an" to 4elp "etermine reasona+leness o1 propose" salar).

,*,E8KO8L 8ED-C39ON *C3 NO39CE

,$+li& reportin2 +$r"en 1or t4is &olle&tion o1 in1ormation is estimate" to a:era2e t4irt) min$tes per response! in&l$"in2 t4e time 1or re:ieBin2 instr$&tions! sear&4in2 existin2 "ata so$r&es! 2at4erin2 an" maintainin2 t4e "ata nee"e"! an" &ompletin2 an" re:ieBin2 t4e &olle&tion o1 in1ormation. /en" &omments re2ar"in2 t4is +$r"en estimate or an) ot4er aspe&t o1 t4is &olle&tion o1 in1ormation! in&l$"in2 s$22estions 1or re"$&in2 t4is +$r"en! to: -nite" /tates *2en&) 1or 9nternational De:elopment

O11i&e o1 *&@$isition an" *ssistan&e ,oli&) Di:ision 7M/O**/,? Kas4in2ton! DC 2052(-0100;

an" O11i&e o1 Mana2ement an" B$"2et ,aperBor> 8e"$&tion ,roJe&t 70412-0520? Kas4in2ton! DC 2050(

*9D 1420-10 704/2000?

,a2e 1 o1 2