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STATE OF ORIGIN / LOCAL GOVERMENT

ATTESTATION FORM
(APPLICATION FOR ADMISSION INTO THE 76th
REGULAR COURSE)
Nigerian Defence Academy Kaduna

JAMB Reg. Nuumber: 202440607033HA


Candidate's Name: Ibrahim Shanono Muhammad
Residential Address: C5, Tushi road,new millennium city
Kaduna.
State of Origin: Kano
Faculty: Faculty of Arts and Social Sciences
Course of Study: BSc Psychology
Date of Birth: 07-03-2006
Choice of Service: NIGERIAN ARMY/NIGERIAN AIRFORCE

ATTESTATION OF LOCAL GOVERNMENT AREA OF ORIGIN

To be completed by Chairman or Secretary of the Local Government Area of your


State or any military officer of the rank of Lieutenant Colonel (or equivalent) and
above who hails from your state. Parent/Guardians will not sign for their
sons/daughters/wards but must ensure that this form is completed.

Rank/Position (of Endorsing officer)___________________________________


Service No:_________________ LGA:_____________________________
I certify that _________________________________________ hails from
_________________________Local Government Area of_____________ State.
Name:_____________________________ Signature/Stamp_______________

https://www.ndaapplications.net/lgattestation 2/13/24, 1 38 AM
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Date:_______________________

https://www.ndaapplications.net/lgattestation 2/13/24, 1 38 AM
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