I.B Navy - Form

Application Form
Particulars of Candidate.
Application Number: NNR35/2023/NIG/1443/0035565
National Identification Number: 31983014017
Bank Verification Number: 22575864308
Department: Aircraft Engineering Artificers (Avionics & Aircraft Electrics

Electrical/Electronics)
Exam Centre: Lagos
Center Location: IKEJA CANTONMENT
Title: MR Surname: ABDULRAHEEM
First Name: IBRAHIM Other Name:
Religion: Islam Marital Status: Single
Gender: Male Date Of Birth: 8/26/2004
State of Origin: NIGER LGA of Origin: Borgu
Home Town: Ogun state Mobile Number: 08113782144
Height(Meters): 1.67 No. of Children: 0
Hobbies: Traveling, Sports, Music Email:

abdulraheemibrahim19@gmail.com
Permanent Address Behinde Anglican Church New Bussa Niger State
Contact Address New Bussa Niger state

Application Form
Next of Kin's Information
Full Name: ABDULRAHAMAN ABDULRAHEEM Relationship: BLOOD BROTHER
Occupation: COMPUTER ENGINEERING Mobile Number: 07013575894
Email: abdulrahamanabdulraheem29@gmail.com Post:
Contact Address: Behind Anglican Church New Bussa Niger state
Parent's / Guardian's Information
Full Name: ABDULRAHEEM ABDULRAFIU
Residential Address: Behind Anglican Church New Bussa Niger State
Referees
Referee Name Referee Address Referee Phone
Lawal Adekunle MAINLAND LAGOS STATE 08103755580
Abdulraheem Abdulrafiu BEHIND ANGLICAN CHURCH NEW BUSSA NGER STATE 08058606869
Education Information
Primary Details
School Qualification From To
MUSLIM ASSOCIATION OF NIGERIA (MAN) NUR. & PRI. SCHOOL NEW PLSC 2011 2016
BUSSA NIGER STATE
Secondary Details
School Qualification From To
MUSLIM MODEL COLLEGE KAINJ, NEW BUSSA SSCE 2017 2021
Tertiary Details
Institution Course of Study Type From To Classification
THE FEDERAL POLYTECHNIC OF BIDA Electrical Engineering OND 2022 2023 Upper Credit
Application Form
SSCE / NECO / WASSCE / GCE
No. of sittings: Exam Number 1:
Subject Grade Examination
English C6 CREDIT 4270410015
Physics C6 CREDIT 4270410015
Mathematics B3 GOOD 4270410015
Civic Education C5 CREDIT 4270410015
Chemistry C6 CREDIT 4270410015

Application Form
Have you taken Covid19 Vaccine? No

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

Do you have any disability? No

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
I ABDULRAHEEM IBRAHIM, 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
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 IBRAHIM Other Name
Religion Islam Marital Status Single
Date Of Birth: Thursday, August 26, 2004 Gender Male
Home Town Ogun state Mobile Number 08113782144
Height(Meters) 1.67 Email:

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

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

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

Applicant's Full Name: ABDULRAHEEM IBRAHIM
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:_____________________________________________________

I.B Navy - Form

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Application Form

Application Number: NNR35/2023/NIG/1443/0035565

National Identification Number: 31983014017

Bank Verification Number: 22575864308

Department: Aircraft Engineering Artificers (Avionics & Aircraft Electrics

Exam Centre: Lagos

Center Location: IKEJA CANTONMENT

Title: MR Surname: ABDULRAHEEM

First Name: IBRAHIM Other Name:

Religion: Islam Marital Status: Single

Gender: Male Date Of Birth: 8/26/2004

State of Origin: NIGER LGA of Origin: Borgu

Home Town: Ogun state Mobile Number: 08113782144

Height(Meters): 1.67 No. of Children: 0

Hobbies: Traveling, Sports, Music Email:

Permanent Address Behinde Anglican Church New Bussa Niger State

Contact Address New Bussa Niger state

Next of Kin's Information

Full Name: ABDULRAHAMAN ABDULRAHEEM Relationship: BLOOD BROTHER

Occupation: COMPUTER ENGINEERING Mobile Number: 07013575894

Email: abdulrahamanabdulraheem29@gmail.com Post:

Contact Address: Behind Anglican Church New Bussa Niger state

Parent's / Guardian's Information

Full Name: ABDULRAHEEM ABDULRAFIU

Residential Address: Behind Anglican Church New Bussa Niger State

Referee Name Referee Address Referee Phone

Lawal Adekunle MAINLAND LAGOS STATE 08103755580

School Qualification From To

School Qualification From To

MUSLIM MODEL COLLEGE KAINJ, NEW BUSSA SSCE 2017 2021

Institution Course of Study Type From To Classification

SSCE / NECO / WASSCE / GCE

No. of sittings: Exam Number 1:

Subject Grade Examination

English C6 CREDIT 4270410015

Physics C6 CREDIT 4270410015

Mathematics B3 GOOD 4270410015

Civic Education C5 CREDIT 4270410015

Chemistry C6 CREDIT 4270410015

Have you taken Covid19 Vaccine? No

Reason for leaving:

Have you suffered any mental illness before? No

Do you have any disability? No

Have you ever been convicted by a Court of Law? No

Full Name: Force:

Last Rank: Still in service?:

Full Name: Force:

Last Rank: Still in service?:

Application Number: NNR35/2023/NIG/1443/0035565

Signature: _______________________________ Date: _______________________________

Application Number: NNR35/2023/NIG/1443/0035565

I _____________________________________ parent/guardian of ______________________________________,

Parent / Guardian Witness

Name: _________________________________ Name: _________________________________

Address: _______________________________ Address: _______________________________

Signature: _______________________________ Signature: _______________________________

Application Number: NNR35/2023/NIG/1443/0035565

Title: MR Surname: ABDULRAHEEM

First Name IBRAHIM Other Name

Religion Islam Marital Status Single

Date Of Birth: Thursday, August 26, 2004 Gender Male

State of Origin: NIGER LGA of Origin: Borgu

Home Town Ogun state Mobile Number 08113782144

Signature: _ Date: _

I _ parent/guardian of __,

Name: _ Name: _

Address: _ Address: _

Signature: _ Signature: _

I certify that the applicant _____________ is an indigene of _

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

Surname: __ First Name: