Superintendent Secretary

Application Form

Particulars of Candidate.

Application Number: NNR33/2022/OGU/977/0082614

National Identification Number: 460********

Bank Verification Number: 224********

Department: Communication

Exam Centre: Oyo

Center Location: HQ 2 DIV IBADAN

Title: MISS Surname: COKER

First Name: FELICIA Other Name: Oladele

Religion: christianity Marital Status: Single

Gender: Female Date Of Birth: 2/7/1996

State of Origin: OGUN LGA of Origin: Egbado-South

Home Town: Ilaro Mobile Number: 080********

Height(Meters): 1.99 No. of Children: 01

Hobbies: Traveling Email: ********@*****.***

Permanent Address 22, Osunkeye Street, Bodija Ibadan. Contact Address 22, Osunkeye Street, Bodija Ibadan. Application Form

Next of Kin's Information

Parent's / Guardian's Information

Referees

Full Name: COKER OLATAYO Relationship: SISTER

Occupation: STUDENT Mobile Number: 081********

Email: Post: 2

Contact Address: A5, Emiladun Street, idagba quarters Ayetoro Full Name: MR AND MRS EBENEZER COKER

Residential Address: A5, Emiladun Street, idagba quarters Ayetoro Referee Name Referee Address Referee Phone

Mr Sunday Elijah OBANTOKO ABEOKUTA, OGUN STATE 080******** C/O Adeseye Ogunleye ELEYELE ILE-IFE OSUN STATE 070******** Education Information

Primary Details

Secondary Details

Tertiary Details

School Qualification From To

Roman catholic mission school Primary school certificate 2000 2007 School Qualification From To

Holy Child Group of school, owode idiroko. National Examination Council 2010 2016 Institution Course of Study Type From To Classification Yewa central college of

education

Political science / Social

studies

NCE 2017 2020 Second Class

Upper

Application Form

SSCE / NECO / WASSCE / GCE

No. of sittings: Exam Number 1:

Subject Grade Examination

Agricultural Science C4 CREDIT 60458746IF

Mathematics B3 GOOD 60458746IF

Physics C5 CREDIT 60458746IF

Chemistry B3 GOOD 60458746IF

English C5 CREDIT 60458746IF

Application Form

Have you taken Covid19 Vaccine? Yes

Have you ever served in the Armed Forces or any other security agency?No Give details (if Yes):

Reason for leaving:

Have you suffered any mental illness before? No

Give details (if Yes):

Do you have any disability? No

Give details (if Yes):

Have you ever been convicted by a Court of Law? No State reason (if Yes):

Conviction:

Do you have any relative(s) serving or that served in the Armed Forces? Full Name: Force:

Last Rank: Still in service?:

Full Name: Force:

Last Rank: Still in service?:

Application Form

APPLICANT'S DECLARATION

Application Number: NNR33/2022/OGU/977/0082614

I COKER FELICIA, hereby declare that the information given in this application is true and that if found to be false I should be prosecuted.

Signature: Date: Application Form

Consent by Parent/Guardian

Application Number: NNR33/2022/OGU/977/0082614

I parent/guardian of, who is applying for recruitment into the Nigerian Navy, 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

Name: Name: Address: Address: Signature: Signature: Date: Date: Application Form

LOCAL GOVERNMENT AREA CERTIFICATION

Application Number: NNR33/2022/OGU/977/0082614

Title: MISS Surname: COKER

First Name FELICIA Other Name Oladele

Religion christianity Marital Status Single

Date Of Birth: Wednesday, February 7, 1996 Gender Female State of Origin: OGUN LGA of Origin: Egbado-South

Home Town Ilaro Mobile Number 080********

Height(Meters) 1.99 Email: ********@*****.***

Permanent Address 22, Osunkeye Street, Bodija Ibadan. Certification by LGA Chairman / Secretary Or Senior Military Officer not below the rank of Commander or equivalent Or Chief Superintendent Of Police from Applicant's State of Origin I certify that the applicant is an indigene of L.G.A, 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.

Name:

Address: Signature: Date:

Application Form

POLICE CERTIFICATION

Application Number: NNR33/2022/OGU/977/0082614

Title: MISS Surname: COKER

First Name FELICIA Other Name Oladele

Religion christianity Marital Status Single

Date Of Birth: Wednesday, February 7, 1996 Gender Female State of Origin: OGUN LGA of Origin: Egbado-South

Home Town Ilaro Mobile Number 080********

Height(Meters) 1.99 Email: ********@*****.***

Permanent Address 22, Osunkeye Street, Bodija Ibadan. Certification by Divisional Police Officer

I certify that the applicant is an indigene of Town, L.G.A, State and that his/her parent hails from L.G.A. of 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. Name:

Address:

Signature:

Date:

GUARANTOR'S FORM

Surname: First Name: Middle Name: Town: LGA: State of Origin: Mobile: E-mail: Appointment: How long have you known the candidate: Formation/Unit/Office Address: Residential Address: Contact Address: Name:

Address: Signature: Date:

Application Number: NNR33/2022/OGU/977/0082614

Title: MISS Surname: COKER

First Name FELICIA Other Name Oladele

Religion christianity Marital Status Single

Date Of Birth: Wednesday, February 7, 1996 Gender Female State of Origin: OGUN LGA of Origin: Egbado-South

Home Town Ilaro Mobile Number 080********

Height(Meters) 1.99 Email: ********@*****.***

Permanent Address 22, Osunkeye Street, Bodija Ibadan. Particulars of Guarantor

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.

Contact this candidate