Application Form

Application Number
NNR37/2024/OSU/3058/0147116
National Identification Number
82276763742
Bank Verification Number
22810388330

Category
Tailoring - E6
Exam State
Kwara
Exam Center
NNSHS OFFA

Title
Miss
Surname
Oyekunle
First Name
Zainab

Other Name
Opeyemi
Height
1.82
Religion
Islam
Marital Status
Single
Gender
F
Date Of Birth
Monday, July 3, 2006

State of Origin
Osun
LGA of Origin
Odo Otin
Mobile Number
09015282986

Home Town
Inisa
Permanent Address
Gege area, Inisa Osun State

Parent/ Guardian Detail

Full Name
Mr Oyekunle Fatai
Contact Address
Gege Area Inisa

Next Of Kin

Full Name
Mrs Oyekunle Fatima Omowumi
Relationship
Mother
Mobile Number
07030153244

Occupation
Trading
Contact Address
Gege area Inisa
 Application Form
Referee Details

Referee Name Phone Referee Address

Major Gen. Lasisi Adejare 08023634672 Agbeye, Odo Otin Osun State

Captain Fadekemi Dahunsi 07030061869 Inisa Odo-Otin Osun State

Primary Details
School Qualification From To

Ire Oluwa Nursery and Primary School, Inisa fslc 2010 2018

Secondary Details

School Qualification From To

Ire Oluwa Nursery and Primary School, Inisa waec 2018 2024

SSCE / NECO / WASSCE / GCE

Subject Grade Examination

Mathematics B3 GOOD 4302511028

English C6 CREDIT 4302511028

Government B3 GOOD 4302511028

Literature-in-English C5 CREDIT 2411072055BL

Islamic Studies B3 GOOD 4302511028

Animal Husbandry C4 CREDIT 4302511028

Tertiary Details
:
:
Institution Course of Study Type From To Grade
 Application Form
APPLICANT'S DECLARATION

Application Number
NNR37/2024/OSU/3058/0147116

Application Number: NNR37/2024/OSU/3058/0147116

I Oyekunle Zainab, hereby declare that the information given in this application is true and that if
found to be false I should be prosecuted.

Signature: _______________________________ Date: _______________________________

Certification by Parents / 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

Application Number
NNR37/2024/OSU/3058/0147116

Title
Miss
Surname
Oyekunle
First Name
Zainab

Other Name
Opeyemi
Height
1.82
Religion
Islam

Marital Status
Single
Gender
F
Date Of Birth
Monday, July 3, 2006

State of Origin
Osun
LGA of Origin
Odo Otin
Mobile Number
09015282986
:
 Home Town
Inisa
Permanent Address
Gege area, Inisa Osun State

Certification by LGA Chairman / Secretary Or Senior Military

O!cer 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

Application Number
NNR37/2024/OSU/3058/0147116

Title
Miss
Surname
Oyekunle
First Name
Zainab

Other Name
Opeyemi
Height
1.82
Religion
Islam

Marital Status
Single
Gender
F
Date Of Birth
Monday, July 3, 2006

State of Origin
Osun
LGA of Origin
Odo Otin
Mobile Number
09015282986
:
 Home Town
Inisa
Permanent Address
Gege area, Inisa Osun State

Certification by LGA Chairman / Secretary Or Senior Military O!cer 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:_________________________________________
Certification by Divisional Police O!cer
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 Certification

Application Number
NNR37/2024/OSU/3058/0147116

Title
Miss
Surname
Oyekunle
First Name
Zainab

Other Name
Opeyemi
Height
1.82
Religion
Islam

Marital Status
Single
Gender
F
Date Of Birth
Monday, July 3, 2006

State of Origin
Osun
LGA of Origin
Odo Otin
Mobile Number
09015282986
:
 Home Town
Inisa
Permanent Address
Gege area, Inisa Osun State

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/O!ce Address: _________________________________________________________________
Residential Address: ___________________________________________________________________________
Contact Address: ______________________________________________________________________________
Name: ______________________________________
Address: __________________________________________________________________________
Signature:__________________________________________
Date:________________________________________

This form is to be filled by a Military O!cer not below the rank of Lt Col or equivalent/Police
O!cer 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

Application Number: NNR37/2024/OSU/3058/0147116

Applicant's Full Name: Oyekunle Zainab
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
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
:
: