IT Placement Application Form
Personal Details
Please note that fields marked with * are compulsory
Surname
Other Names*
Date Of Birth*
Sex*
Place Of Birth*
Marital Status*
Home Town*
L.G.A. of Origin*
State of Origin*
Residential Address*
Permanent Home Address*
Parent/Guardian Address*
Nationality (if not Nigerian)
Contact Details
Mailing Address*
Telephone*
Mobile*
e-Mail Address*
Alternative e-Mail
Educational Qualification (List Of Universities, Colleges, and Schools Attended with Dates)
Name/Address of Institution
From (Year)
To (Year)
Main Course Of Study
Qualification Obtained
Institution
Secondary
Tertiary
Advanced
Institution
Secondary
Tertiary
Advanced
Institution
Advanced (Detail)
Professional Qualification/ Certification/ Training
(Please fill "N/A" where it does not apply to you)
Institution/Certificate Name
Date (Year)
Enter First Institution
Enter Second Institution
Enter Third Institution
IT Details
What is you IT Period?
Months
Year
what is your Area of Interest?*
What is your Academic Level*
what Future Career do you plan?
General Information:
Please Note that all information from here would be treated with utmost confidentiality
Have You ever been convicted of a criminal offence?
Yes
No
Do you have any nervous disorder?
Yes
No
Have you ever been dismissed or invalidated from post within the Nigerian Public/Private Sector?*
Yes
No
Please give detail here if any of these questions has a yes answer
How did You know about us? State here*
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