A. PERSONAL DETAILS |
1. Title
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2. Surname
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3. Other Names
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4. Date of Birth |
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6. Sex
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7. Marital Status
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8. If married name of spouse
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9. No. of children with their ages
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10. Postal Address
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11. Telephone Contact
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12. Residential Address
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13. Languages spoken fluently
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14. Languages spoken with slight working experience
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B. EDUCATIONAL HISTORY |
1. Secondary schools Attended
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Period of attendance |
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2. Examinations taken at the end of the Secondary School
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3. Advanced level courses attended (if any)
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Period of attendance |
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4. Examinations taken at the end of the course
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5a. University or other higher instituitions of learning
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Period of attendance |
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5b. Examinations passed, stating clearly, Class, Honours, Distinctions and the subject for major Honours .
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5c. State the society and clubs to which you belong and offices held in those societies during your educational career.
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Societies/Clubs |
Positions held |
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C. PERSONAL/OCCUPATIONAL QUALIFICATIONS |
Please state professional or occupational qualifications acquired, and the years in which the various examinations leading to the qualifications were taken.
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Qualifications acquired |
Period of time |
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D. PRESENT AND PREVIOUS EMPLOYMENT RECORD |
State the names and address of the present and all previous employers, the title of the jobs held during the employment.
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Names and addresses of Employers |
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Job Title |
Reason for leaving |
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E. INFORMATION RELATING TO OCCUPATIONAL AREAS OF PREVIOUS SERVICE, THE PROFESSION OR FUNCTIONAL AREA OR EXPERTISE, AND THE SPECIAL SKILLS ACQUIRED WHICH CAN BE MADE AVAILABLE IF CALLED TO SERVE. |
Example:
(i) Health Care Delivery is an occupational area
(ii) Medical Practitioner or Surgeon is a prefession
....Under Health care other professions or sub professions are Medicine, ....Dentistry, Parmacy, Nursing, Lab Technology, Radiography etc.
(iii)Orthopeadic Surgeon or ENT Surgeon is an area of Specialisation or skill. |
1a. Please state the occupational area in which you have practised your professional expertise or skill e.g. Flour milling or Teaching.
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b. Please state profession or functional expertise in which you practised over a reasonable period of time e.g. Engineering (Electrical) or Accounting or physics as a Discipline.
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c. Please state the special skills which you have acquired and found useful in your chosen profession or functional area e.g. Electrical wiring or commissioning of a plant in Electrical Engineering or credit control or internal Audit or control Budgeting/Budget Control in Accounting or external examining or laboratory equipment maintenance in Physics. |
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d. What length of time and experience have you in your choice of occupational skill?
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2a. Are you computer literate?
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b. How proficient are you?
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F. MISCELLANEOUS INFORMATION REQUIRED |
1. what is the present state of your health? State whether you have ever been hospitalized and if so for what?
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2. State for what ailment you are currently recieving medication
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3. State your hobbies
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4. Name the clubs and societies you belong to and state any office you are holding or have held. |
Societies/Clubs |
Offices held |
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5. What part of the country (NIGERIA) and the WEST AFRICAN SUB-REGION are you familiar with either having lived or worked there.
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6. What part of the country will you be prepared to serve as a volunteer?
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7. Mention skills Courses and Management Courses/Seminars attended and any extra curicullar activities which you think may assist the client in assessing your suitability for assignment.
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8. Give names and addresses of three personal referees. |
1st Referee |
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2nd Referee |
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2nd Referee |
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