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:_____________________________________________________