MARSHALL GOODMAN INDUSTRIES
Solutions For Tomorrow
EMPLOYEE DATA FORM
Personal Information
Full Name: AGBO EMMANUELLA AMARACHUKWU
Date of Birth: 19TH APRIL 2001
Gender: FEMALE
Marital Status: SINGLE
Nationality: NIGERIAN
National Identification Number: 35099852200
Contact Information
Home Address:
City: ONITSHA
State/Province: ANAMBRA
Postal Code:
Country: NIGERIA
Phone Number: 08066210218
Email Address: agboella20@gmail.com
Employment Details
Job Title: FRONTEND DEVELOPER
Department: FRONTEND
Employee ID:
Date of Hire: 28TH MAY 2024
Employment Type: FULL-TIME
Supervisor's Name: NWEZE ESTHER NENE
Bank Details for Salary
Bank Name: ACCESS (DIAMOND) BANK
Bank Address:
Account Name: AGBO EMMANUELLA AMARACHUKWU
Account Number: 1390551192
Routing Number/IBAN:
SWIFT Code:
Emergency Contact Information
Emergency Contact Name: AGBO CECILIA NKWO
Relationship to Employee: MOTHER
Phone Number: 08066210218
Alternate Phone Number:
Email Address: ceekalcomputers123@gmail.com
Educational Background
Highest Degree Earned: SENIOR SECONDARY SCHOOL
CERTIFICATE
Institution Name: LORETTO SPECIAL SCIENCE SCHOOL,
ADAZI
Field of Study: SCIENCE
Graduation Year: 2019
Previous Employment
Previous Employer: JOE
Job Title: FIREBASE DEVELOPER (BACKEND)
Employment Period: 6 MONTHS (CONTRACT)
Reason for Leaving: CONTRACT ENDED
Health Information
Do you have any medical conditions or NONE
allergies the company should be aware of?:
If yes, please specify:
Additional Information
Languages Spoken: ENGLISH AND IGBO
Skills/Certifications:
Professional Memberships:
Employee Declaration
I hereby declare that the information provided above is accurate and complete to the best of
my knowledge.
Employee Signature: AEAS.
Date: 5TH JULY 2024
For Office Use Only
Verified By: _____________________________
Date: _____________________________
