NIGERIAN ARMY Application Form 74 Regular Recruits Intake for Non-Tradesmen/Women Page:1

Transcription

1 Page:1 1 Particulars of Candidate. Category: n Tradesmen/Women Exam Centre: Command Children School, Ribadu Cantonment, Kaduna Voucher Serial Number: Voucher PIN: First Aliyu Marital Status: Single. of Children: Hobbies: Football Tribal Marks: Tattoo/Body Marks: 2 Next of Kin's Information Full Zaharaddeen Ibrahim Relationship: Occupation: Student Post: Phone Number: Brother 3 Parent's / Guardian's Information Full Yahaya Ibrahim 4 Education Information Level School Qualification Started Finished Primary 1. LEA Lallon Kura Primary School 2. Primary School Leaving Secondary 1. Williams School of Commerce 2. SSCE Tertiary 1. 2.

2 Page:2 SSCE / GCE / WASSCE / NECO Result 1 English Language C4 5 Physics E8 2 Mathematics E8 6 IRK C5 3 Geography C6 7 Hausa C6 4 Chemistry C5 8 Biology F9 5 Referee's Information (3 Referees) Full Buhari Ibrahim Phone: Full Rabiu Tahir Phone: Full Jamilu Ibrahim Phone: Further Information Have you ever served in the Armed Forces or any other security agencies? Give details (if Yes): Reason for leaving: Have you ever been detained by the Police? State reason (if Yes): Duration of detention: Have you ever been convicted by a Court of Law? State reason (if Yes): Conviction: Have you ever travelled out of the country? Travel details: Do you have any relative serving or that served in the Armed Forces? Full Force: Last Rank: Still in service?: Full Last Rank: Force: Still in service?:

3 Page:3 APPLICANT'S DECLARATION Application Number: 74RRI/KT/148/ I IBRAHIM ALIYU, hereby declare that the information given in this application is true and that if found to be false I should be prosecuted. CERTIFICATION BY PARENTS/ GUARDIAN I parent/guardian of IBRAHIM ALIYU, who is applying for recruitment into the Nigerian Army, hereby certify that I fully understand that my child/ward will (if required to) attend the Recruitment Exercise and I shall not demand compensation or relief from the Government in respect of death or any injury which my child/ward may sustain in the course of or as a result of any task given to him/her during the exercise. Parent / Guardian Witness

4 Page:4 LOCAL GOVERNMENT AREA CERTIFICATION Particulars of Candidate. First Aliyu CERTIFICATION BY CHAIRMAN / SECRETARY I certify that the applicant IBRAHIM ALIYU is an indegene of Danja Town, Danja L.G.A, Katsina State. And that to the best of my knowledge and belief the facts stated on the form are correct. I hereby declare that if any statement made in connection with this application is proven to be false I should be prosecuted. Signature (Council Stamp):

5 Page:5 POLICE CERTIFICATION Particulars of Candidate. First Aliyu CERTIFICATION BY DPO I certify that the applicant IBRAHIM ALIYU is an indegene of Danja Town, Danja L.G.A, Katsina State and that his/her parent hails from Danja L.G.A. of Katsina State. That he/she has no criminal record on him/her. (If any state briefly ). That to the best of my knowledge and belief the facts stated in the form are correct and I hereby declare that if any statement made in connection with this application is proven to be false I should be prosecuted.

6 Page:6 GUARANTOR'S FORM CERTIFYING PERSON S PASSPORT PHOTOGRAPH 1 Particulars of Candidate. First Aliyu 2 Particulars of Guarantor Surname: First Middle Town: LGA: Mobile: Appointment: How long have you known the candidate: Formation/Unit/Office Residential Contact te: Rank/Appointment: Date/Stamp: This form is to be filled by a Military Officer not below the rank of Lt Col or equivalent/police Officer not below the rank of Chief Superintendent of Police/Assistant Director at either Federal or State Civil Service certifying the eligibility of the applicant. You need not to come from an applicant s State of Origin to guarantee him/her only be sure of the character. Please note that inability to confirm the above given information about you, will lead to automatic disqualification of the candidate.

7 Page:7 FOR OFFICIAL USE ONLY Application Number: 74RRI/KT/148/ Applicant's Full IBRAHIM ALIYU Date Received: Education Qualification: Number Of Credits/Passes obtained (SSCE / GCE / WASSCE / NECO): Documents Attached a) b) c) d) e) Detailed Result a)medical fitness: b)general aptitude test score: c)vocational aptitude test score: Remarks a)rank: b) c)signature and Director DARRR a)rank: b) c)signature and