Application Form
Application Number: Department: EDUCATION Specialisation
DSSC28/2020/ENU/161/0007118 Biology
National Identi cation Number: 33092746899
Exam Centre: Abuja Location: Army Day Secondary School, Mogadishu Barracks
Title: MR Surname: NWODO First Name: DAMIAN
Other Name: Ikechukwu Religion: christianity Marital Status: Single
Gender: Male Date Of Birth: 5/10/1994 State of Origin: ENUGU
LGA of Origin: Nkanu-East Home Town: Ugbuawka Mobile Number:
08114173301
Height(Meters): 1.75 No. of Children: 0 Hobbies: Traveling, Reading,
Writing, s
Email: ikesondn@gmail.com Permanent Address 5 Zone 8 Lugbe FCT Abuja
Contact Address Christ the King College, Gwagwalada FCT Abuja
Next of Kin's Information
Full Name: NWODO STANLEY Relationship: BROTHER Occupation: TAILORING
Mobile Number: Post: Tailor Email:
08055953272 stanleefashion@gmail.com
Contact Address: 5 Zone 8, Lugbe FCT Abuja
Parent's / Guardian's Information
Full Name: NWODO PAUL Residential Address: Bako, kwali Area Council
FCT Abuja
Application Form
Referees
Referee Name Referee Address Referee Phone
Dr ID Umar UNIVERSITY OF ABUJA (HOD BIOLOGY) 08096002608
Mr Odah Odeh UNIVERSITY OF JOS PLATEAU STATE (TECHNOLOGIST) 08036808023
Primary Details
School Quali cation From To
Success Foundation School, Lugbe FCT Abuja PSLC 2001 2006
Secondary Details
School Quali cation From To
Government Secondary School, Gwagwalada FCT Abuja SSCE 2006 2012
Tertiary Details
Institution Course of Study Type From To Classi cation
University of Abuja, Abuja Biology Degree 2012 2017 Second Class Upper
Application Form
SSCE / NECO / WASSCE / GCE
Nysc Number: A003960264 Exam Number: 23264526FG
Subject Grade
Chemistry C4 CREDIT
Agricultural Science B3 GOOD
Economics C5 CREDIT
Biology C4 CREDIT
Mathematics C4 CREDIT
Physics C4 CREDIT
English C4 CREDIT
Geography B3 GOOD
Application Form
APPLICANT'S DECLARATION
Application Number: DSSC28/2020/ENU/161/0007118
I NWODO DAMIAN, hereby declare that the information given in this application is true and that
if found to be false I should be prosecuted.
Signature: _______________________________ Date: _______________________________
Certi cation by Parents / Guardian
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: DSSC28/2020/ENU/161/0007118
Title: MR Surname: NWODO
First Name DAMIAN Other Name Ikechukwu
Religion christianity Marital Status Single
Date Of Birth: Tuesday, May 10, 1994 Gender Male
State of Origin: ENUGU LGA of Origin: Nkanu-East
Home Town Ugbuawka Mobile Number 08114173301
Height(Meters) 1.75 Email: ikesondn@gmail.com
Permanent Address 5 Zone 8 Lugbe FCT Abuja
Certi cation by LGA Chairman / Secretary Or Senior Military O cer 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: DSSC28/2020/ENU/161/0007118
Title: MR Surname: NWODO
First Name DAMIAN Other Name Ikechukwu
Religion christianity Marital Status Single
Date Of Birth: Tuesday, May 10, 1994 Gender Male
State of Origin: ENUGU LGA of Origin: Nkanu-East
Home Town Ugbuawka Mobile Number 08114173301
Height(Meters) 1.75 Email: ikesondn@gmail.com
Permanent Address 5 Zone 8 Lugbe FCT Abuja
Certi cation by Divisional Police O cer
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 brie y
__________________________________________________________________________________________________________________
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
Application Number: DSSC28/2020/ENU/161/0007118
Title: MR Surname: NWODO
First Name DAMIAN Other Name Ikechukwu
Religion christianity Marital Status Single
Date Of Birth: Tuesday, May 10, 1994 Gender Male
State of Origin: ENUGU LGA of Origin: Nkanu-East
Home Town Ugbuawka Mobile Number 08114173301
Height(Meters) 1.75 Email: ikesondn@gmail.com
Permanent Address 5 Zone 8 Lugbe FCT Abuja
Particulars of Guarantor
Surname: ______________________________________ First Name: ____________________________________
Middle Name: _________________________________ Town: _________________________________________
LGA: __________________________________________ State of Origin: ________________________________
Mobile: ________________________________________ E-mail: ________________________________________
Appointment: __________________________________How long have you known the candidate:_______
Formation/Unit/O ce Address: _________________________________________________________________
Residential Address: ___________________________________________________________________________
Contact Address: ______________________________________________________________________________
Name: ______________________________________
Address: __________________________________________________________________________
Signature:__________________________________________
Date:________________________________________
This form is to be lled by a Military O cer not below the rank of Lt Col or equivalent/Police
O cer 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 con rm
the above given information about you, will lead to automatic disquali cation of the candidate.
Application Form
FOR OFFICIAL USE ONLY
Application Number: DSSC28/2020/ENU/161/0007118
Applicant's Full Name: NWODO DAMIAN
Date Received:_____________________________________
Education Quali cation: Number Of Credits/Passes obtained (SSCE / GCE / WASCE / NECO):_______
Documents Attached
a)_____________________________________________________
b)_____________________________________________________
c)_____________________________________________________
d)_____________________________________________________
e)_____________________________________________________
Detailed Result
Medical tness:_____________________________________________________
General aptitude test score:_____________________________________________________
Vocational aptitude test score:_____________________________________________________
Remark
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
Director
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
