Application Form
Particulars of Candidate.
Application Number: NNR33/2022/OGU/870/0073698
National Identification Number: 89230166355
Bank Verification Number: 22238983481
Department: Project Technician
Exam Centre: Lagos
Center Location: IKEJA CANTONMENT
Title: MR Surname: ADESANYA
First Name: ADEDAMOLA Other Name: Mikaheel
Religion: Islam Marital Status: Single
Gender: Male Date Of Birth: 5/22/1995
State of Origin: OGUN LGA of Origin: Egbado-South
Home Town: Mobile Number: 08134851237
Height(Meters): 1.89 No. of Children:
Hobbies: Reading Email:
adedamolaadesanya42@gmail.com
Permanent Address Adesanya's compound oke odan yewa south L.G.A Ogun state
Contact Address
Application Form
Next of Kin's Information
Full Name: ADEDAYO ADESANYA Relationship: SISTER
Occupation: CHEW Mobile Number: 08067037758
Email: Post:
Contact Address: Adesanya's compound oke-odan yewa south L.G.A Ogun state
Parent's / Guardian's Information
Full Name: ENGR ADESANYA
Residential Address: Adesanya's compound oke-odan yewa south L.G.A Ogun state
Referees
Referee Name Referee Address Referee Phone
Professor ojoawo OGBOMOSO OYO STATE 08033916883
Engr F.A.O Akinboboye GBOGIDI ILARO YEWA SOUTH L.G.A OGUN STATE 08181585386
Education Information
Primary Details
School Qualification From To
Unique nursery and primary school PSLC 1999 2005
Secondary Details
School Qualification From To
The GEM International School Owode yewa WASSCE 2006 2011
Tertiary Details
Institution Course of Study Type From To Classification
The Federal polytechnic ilaro Civil Engineering OND 2011 2013 Lower Credit
Application Form
SSCE / NECO / WASSCE / GCE
No. of sittings: Exam Number 1:
Subject Grade Examination
Biology C5 CREDIT 4280519001
Agricultural Science A1 EXCELLENT 4280519001
Physics B3 GOOD 4280519001
English C5 CREDIT 4280519001
Geography B3 GOOD 4280519001
Mathematics B3 GOOD 4280519001
Chemistry B2 VERY GOOD 4280519001
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/870/0073698
I ADESANYA ADEDAMOLA, 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/870/0073698
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/870/0073698
Title: MR Surname: ADESANYA
First Name ADEDAMOLA Other Name Mikaheel
Religion Islam Marital Status Single
Date Of Birth: Monday, May 22, 1995 Gender Male
State of Origin: OGUN LGA of Origin: Egbado-South
Home Town Mobile Number 08134851237
Height(Meters) 1.89 Email:
adedamolaadesanya42@gmail.com
Permanent Address Adesanya's compound oke odan yewa south L.G.A Ogun state
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/870/0073698
Title: MR Surname: ADESANYA
First Name ADEDAMOLA Other Name Mikaheel
Religion Islam Marital Status Single
Date Of Birth: Monday, May 22, 1995 Gender Male
State of Origin: OGUN LGA of Origin: Egbado-South
Home Town Mobile Number 08134851237
Height(Meters) 1.89 Email:
adedamolaadesanya42@gmail.com
Permanent Address Adesanya's compound oke odan yewa south L.G.A Ogun state
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
Application Number: NNR33/2022/OGU/870/0073698
Title: MR Surname: ADESANYA
First Name ADEDAMOLA Other Name Mikaheel
Religion Islam Marital Status Single
Date Of Birth: Monday, May 22, 1995 Gender Male
State of Origin: OGUN LGA of Origin: Egbado-South
Home Town Mobile Number 08134851237
Height(Meters) 1.89 Email:
adedamolaadesanya42@gmail.com
Permanent Address Adesanya's compound oke odan yewa south L.G.A Ogun state
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/Office Address: _________________________________________________________________
Residential Address: ___________________________________________________________________________
Contact Address: ______________________________________________________________________________
Name: ______________________________________
Address: __________________________________________________________________________
Signature:__________________________________________
Date:________________________________________
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.
Application Form
FOR OFFICIAL USE ONLY
Application Number: NNR33/2022/OGU/870/0073698
Applicant's Full Name: ADESANYA ADEDAMOLA
Date Received:_____________________________________
Education Qualification: Number Of Credits/Passes obtained (SSCE / GCE / WASCE / NECO):_______
Documents Attached
a)_____________________________________________________
b)_____________________________________________________
c)_____________________________________________________
d)_____________________________________________________
e)_____________________________________________________
Detailed Result
Medical fitness:_____________________________________________________
General aptitude test score:_____________________________________________________
Vocational aptitude test score:_____________________________________________________
Remark
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
Director, DRRR
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
