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PHOTO CARD
Surname ESSIEN

First Name UDIM

Other Name(s) FRANCIS

Regular Intake 85RRI

Application Number 85RRI/AK/4426799

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ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Application Number 85RRI/AK/4426799

Full Name ESSIEN UDIM FRANCIS

State of Origin Akwa Ibom

Address IKOT UFEN AFAHA OBONG, ABAK L.G.A

Subject Grades

Serial Exam Type Subject Grade Date

1 NECO GOVERNMENT C5 2019-06-19

2 NECO CIVIC EDUCATION C5 2019-06-19

3 NECO GENERAL MATHEMATICS OR MATHEMATICS (CORE) C6 2019-06-19

4 NECO ECONOMICS C6 2019-06-19

5 NECO ENGLISH LANGUAGE C6 2019-06-19

6 NECO LITERATURE IN ENGLISH C5 2019-06-19

7 NECO BIOLOGY C5 2019-06-19

8 NECO MARKETING C5 2019-06-19

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 ____________________

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ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Application Number 85RRI/AK/4426799

Full Name ESSIEN UDIM FRANCIS

State of Origin Akwa Ibom

Address IKOT UFEN AFAHA OBONG, ABAK L.G.A

DECLARATION BY PARENT/GUARDIAN OF APPLICANT

(To be made at a recognised court of law)
I ______________________________ parent/guardian of UDIM ESSIEN 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 Signature of witness
Address _____________________________________
Date ________________________________________

Before Me ________________________________________
Name and Signature of witness
Address _____________________________________
Date ________________________________________

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ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

Application Number 85RRI/AK/4426799

Full Name ESSIEN UDIM FRANCIS

State of Origin Akwa Ibom

Address IKOT UFEN AFAHA OBONG, ABAK L.G.A

CERTIFICATION BY LOCAL GOVERNMENT CHAIRMAN/SECRETARY

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

Signature (Council Stamp):______________________

Date: ________________________________________

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ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION

POLICE CERTIFICATION
To be completed by a DPO

Application Number 85RRI/AK/4426799

Full Name ESSIEN UDIM FRANCIS

Date of Birth/ Gender 1997-09-28/Male

State of Origin (LGA) Akwa Ibom(Abak)

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

This 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: _______________________________________________________________________________

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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)
To 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.

Application Number 85RRI/AK/4426799

Full Name ESSIEN UDIM FRANCIS

Date of Birth/ Gender 1997-09-28/Male

State of Origin (LGA) Akwa Ibom(Abak)

PARTICULARS OF GUARANTOR

PASSPORT
PHOTOGRAPH

First Name: _________________________________________________________________________

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

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Signature: __________________________________________________________________________

Date/Stamp: _________________________________________________________________________

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