IT Placement Application Form

Personal Details

Please note that fields marked with * are compulsory

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*
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
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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