T his document was last modified on 2023-10-02 18:08:43.

874269

PHOTO CARD
Surname AHMAD

First Name IBRAHIM

Ot her Name(s)

Regular Int ake 86RRI

Applicat io n Number 86RRI/KT /6556085

T his document was last modified on 2023-10-02 18:08:43.874269

ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Applicat io n Number 86RRI/KT /6556085

Full Name AHMAD IBRAHIM

St at e o f Origin Katsina

Address KOFAR FADA KANKARA LOCAL GOVERNMENT KAT SINA ST AT E

Subject Grades

Serial Exam Type Subject Grade Dat e

1 WASSCE FURT HER MAT HEMAT ICS OR MAT HEMAT ICS (ELECT IVE) C6 2018-07-01

2 WASSCE CIVIC EDUCAT ION B3 2018-07-01

3 WASSCE CHEMIST RY C4 2018-07-01

4 WASSCE ISLAMIC RELIGIOUS ST UDIES C5 2018-07-01

5 WASSCE ENGLISH LANGUAGE C6 2018-07-01

6 WASSCE DAT A PROCESSING B3 2018-07-01

7 WASSCE GENERAL MAT HEMAT ICS OR MAT HEMAT ICS (CORE) B3 2018-07-01

8 WASSCE PHYSICS B3 2018-07-01

9 WASSCE BIOLOGY C4 2018-07-01

DECLARATION BY APPLICANT
I (above named) hereby declare that the information given in this application is true and if found to be false I shall be prosecuted.

Sign _____________________________________ Date ____________________

T his document was last modified on 2023-10-02 18:08:43.874269

ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Applicat io n Number 86RRI/KT /6556085

Full Name AHMAD IBRAHIM

St at e o f Origin Katsina

Address KOFAR FADA KANKARA LOCAL GOVERNMENT KAT SINA ST AT E

DECLARATION BY PARENT/GUARDIAN OF APPLICANT

(T o be made at a recognised court of law)
I ______________________________ parent/guardian of IBRAHIM AHMAD who is applying for the recruitment into the Nigerian Army, 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 Governemnt in respect for death or injury which my child/ward may sustain in the course of or as a
result of any task given to him during the exercise.

Parent/Guardian Sign _____________________________________ Date ____________________

Parent/Guardian Witnesses
Before Me ________________________________________
Name and Signat ure o f wit ness
Address _____________________________________
Date ________________________________________

Before Me ________________________________________
Name and Signat ure o f wit ness
Address _____________________________________
Date ________________________________________
T his document was last modified on 2023-10-02 18:08:43.874269

ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Applicat io n Number 86RRI/KT /6556085

Full Name AHMAD IBRAHIM

St at e o f Origin Katsina

Address KOFAR FADA KANKARA LOCAL GOVERNMENT KAT SINA ST AT E

CERTIFICATION BY LOCAL GOVERNMENT CHAIRMAN/SECRETARY

I certify that the applicant _______________________________ is an indigene of _______________ LGA ___________ State. T o the best of my
knowledge and belief the facts stated on the form are correct.
Name: _______________________________________
Address: _____________________________________
_____________________________________________
_____________________________________________

Signature (Council Stamp):______________________

Date: ________________________________________
T his document was last modified on 2023-10-02 18:08:43.874269

ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

POLICE CERTIFICATION
To be completed by a DPO

Applicat io n Number 86RRI/KT /6556085

Full Name AHMAD IBRAHIM

Dat e o f Birt h/ Gender 1998-03-02/Male

St at e o f Origin (LGA) Katsina(Kankara)

CERTIFICATION BY DPO
I certify that the applicant ___________________________ is an indigene of ________________ LGA _________ State and that his/her parent hails
from _________ LGA _________ State. T hat he/she has no criminal record (If any state below).
.

T his is 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 htis application is preven false. I shall be prosecuted.

Name of Referee: ____________________________________________________________________

Contact Address: ____________________________________________________________________
Email: ______________________________________________________________________________
Phone: ______________________________________________________________________________
Signature: __________________________________________________________________________
Date: _______________________________________________________________________________
T his document was last modified on 2023-10-02 18:08:43.874269

ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

GUARANTOR'S FORM
(Any false information provided on an applicant could attract criminal prosecution in a court of law)
T o be completed by A Military Officer not below the rank of Major or equivalent Police Officer not below the rank of Chief Superintendent of
Police/Assistant Director of either Federal or State Civil Service certifying the eligibility of the applicant. You need not to come from the
applicant's State of Origin to guarntee him/her only be sure of the character. Please note that inability to confirm the below given
information about you will lead to automatic disqualification of the candidate.

Applicat io n Number 86RRI/KT /6556085

Full Name AHMAD IBRAHIM

Dat e o f Birt h/ Gender 1998-03-02/Male

St at e o f Origin (LGA) Katsina(Kankara)

PARTICULARS OF GUARANTOR

PASSPORT
PHOT OGRAPH

First Name: _________________________________________________________________________

Surname: ____________________________________________________________________________
Other names: ________________________________________________________________________
Contact Address: ____________________________________________________________________
Email: ______________________________________________________________________________
Phone: ______________________________________________________________________________
State of Origin: ____________________________________________________________________
LGA: ________________________________________________________________________________
T own: _______________________________________________________________________________
Formation/Unit: _____________________________________________________________________
Rank/Appointment: ___________________________________________________________________
How long have your known the applicant ?: ___________________________________________
Signature: __________________________________________________________________________

Date/Stamp: _________________________________________________________________________