Application Form: Particulars of Candidate

Application Form
Particulars of Candidate.
Application Number: NNR32/2020/KOG/618/0010930
National Identi cation Number: 57298609171
Department: Drivers/Mechanics
Exam Centre: Fct
Center Location: NAVAL UNIT ABUJA
Title: MR Surname: OMAGA
First Name: THOMAS Other Name:
Religion: christianity Marital Status: Single
Gender: Male Date Of Birth: 4/6/1998
State of Origin: KOGI LGA of Origin: Ankpa
Home Town: Ojede Ankpa Mobile Number: 08111690822
Height(Meters): 1.69 No. of Children: 0
Hobbies: Reading, Sport Email:

thomasomaga22@gmail.com
Tattoo/Body Marks: nil Tribal Marks: nil
Permanent Address Behind Catholic Church Ojede-Ankpa
Contact Address Behind Catholic Church Ojede-Ankpa

Application Form
Next of Kin's Information
Full Name: OMAGA POLYCARP Relationship: BROTHER
Occupation: STUDENT Mobile Number: 09051037005
Email: Post: Student
Contact Address: Behind Catholic Church Ojede Ankpa
Parent's / Guardian's Information
Full Name: AUGUSTINE OMAGA
Residential Address: Behind Catholic Church, Ojede Ankpa
Referees
Referee Name Referee Address Referee Phone
Daniel Onuh ABUJA 08066270047
Ibrahim Ogohi ABUJA 08065383942

Education Information
Primary Details
School Quali cation From To
LGEA PRIMARY SCHOOL, OKURA OFANTE PSLC 2000 2006
Secondary Details
School Quali cation From To
COMMUNITY SECONDARY SCHOOL, OKURA OLAFIA WAEC/NECO 2006 2011
Tertiary Details
Institution Course of Study Type From To Classi cation

Application Form
SSCE / NECO / WASSCE / GCE
No. of sittings: Exam Number 1:
Subject Grade Examination
Christian Religious Studies C4 CREDIT 4230524107
Mathematics C6 CREDIT 4230524107
Commerce A1 EXCELLENT 4230524107
Biology C6 CREDIT 4230524107
Economics C6 CREDIT 4230524107
Agricultural Science C6 CREDIT 4230524107
Government C5 CREDIT 4230524107
English C6 CREDIT 21519182CI

Application Form
Have you ever served in the Armed Forces or any other security agency?No
Give details (if Yes):
Reason for leaving::
Do you have any Job Experience Yes
Give details (if Yes):
Reason for leaving::
Have you ever been detained by the Police? No
State reason (if Yes):
Duration of detention:
Have you ever been convicted by a Court of Law? No
State reason (if Yes):
Conviction:
Have you ever travelled out of the country? No
Travel details:
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
I OMAGA THOMAS, 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
First Name THOMAS Other Name
Religion christianity Marital Status Single
Date Of Birth: Monday, April 6, 1998 Gender Male
Home Town Ojede Ankpa Mobile Number 08111690822
Height(Meters) 1.69 Email:

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

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

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

Applicant's Full Name: OMAGA THOMAS
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, DRRR
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________

Application Form: Particulars of Candidate

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Application Form: Particulars of Candidate

Uploaded by

Copyright:

Available Formats

Application Form

Application Number: NNR32/2020/KOG/618/0010930

National Identi cation Number: 57298609171

Exam Centre: Fct

Center Location: NAVAL UNIT ABUJA

Title: MR Surname: OMAGA

First Name: THOMAS Other Name:

Religion: christianity Marital Status: Single

Gender: Male Date Of Birth: 4/6/1998

State of Origin: KOGI LGA of Origin: Ankpa

Home Town: Ojede Ankpa Mobile Number: 08111690822

Height(Meters): 1.69 No. of Children: 0

Hobbies: Reading, Sport Email:

Tattoo/Body Marks: nil Tribal Marks: nil

Permanent Address Behind Catholic Church Ojede-Ankpa

Contact Address Behind Catholic Church Ojede-Ankpa

Next of Kin's Information

Full Name: OMAGA POLYCARP Relationship: BROTHER

Occupation: STUDENT Mobile Number: 09051037005

Email: Post: Student

Contact Address: Behind Catholic Church Ojede Ankpa

Parent's / Guardian's Information

Full Name: AUGUSTINE OMAGA

Residential Address: Behind Catholic Church, Ojede Ankpa

Referee Name Referee Address Referee Phone

Daniel Onuh ABUJA 08066270047

Ibrahim Ogohi ABUJA 08065383942

School Quali cation From To

LGEA PRIMARY SCHOOL, OKURA OFANTE PSLC 2000 2006

School Quali cation From To

COMMUNITY SECONDARY SCHOOL, OKURA OLAFIA WAEC/NECO 2006 2011

Institution Course of Study Type From To Classi cation

SSCE / NECO / WASSCE / GCE

No. of sittings: Exam Number 1:

Subject Grade Examination

Christian Religious Studies C4 CREDIT 4230524107

Mathematics C6 CREDIT 4230524107

Commerce A1 EXCELLENT 4230524107

Biology C6 CREDIT 4230524107

Economics C6 CREDIT 4230524107

Agricultural Science C6 CREDIT 4230524107

Government C5 CREDIT 4230524107

English C6 CREDIT 21519182CI

Full Name: Force:

Last Rank: Still in service?:

Full Name: Force:

Last Rank: Still in service?:

Application Number: NNR32/2020/KOG/618/0010930

Signature: _______________________________ Date: _______________________________

Certi cation by Parents / Guardian

I _____________________________________ parent/guardian of ______________________________________, who is applying

Parent / Guardian Witness

Name: _________________________________ Name: _________________________________

Address: _______________________________ Address: _______________________________

Signature: _______________________________ Signature: _______________________________

Application Number: NNR32/2020/KOG/618/0010930

Title: MR Surname: OMAGA

First Name THOMAS Other Name

Religion christianity Marital Status Single

Date Of Birth: Monday, April 6, 1998 Gender Male

State of Origin: KOGI LGA of Origin: Ankpa

Home Town Ojede Ankpa Mobile Number 08111690822

Height(Meters) 1.69 Email:

Signature: _ Date: _

I _ parent/guardian of __, who is applying

Name: _ Name: _

Address: _ Address: _

Signature: _ Signature: _

I certify that the applicant _____________ is an indigene of _ L.G.A,

I certify that the applicant ___________ is an indigene of Town,

Surname: __ First Name: