No.
3 Murphy Atsepoyi Street, Off
EMPLOYMENT APPLICATION FORM
Ramat Crescent, Ogudu GRA, Lagos
Email:
[email protected]Name (Surname)…………..….…………….…… Other Names……………..………........................................
SEX…..………DOB…………………...Phone No…...…………..………Email:……………………………………...
Marital Status (Tick where applicable) Single Married Widowed Divorced
LGA….…………………………….. State of origin……………..……………… Nationality…………………
Present Residential Address………………………………………………..……............................................
…………………………..………………………………………………………………………………………………...…
Bank………....…….………… ……… Account No……………..…………..BVN…………………………………
PFA Name………..…….………… ………………….…….. PIN……………..……………….. …..………………
Name of Spouse (if married)……………………………………….Spouse Phone No….……………….……
Next of Kin ……………….………………………………………………….………………………………………
Relationship to next of kin…..………….……………Next of Kin Phone number……………………..……
Address of next of kin……………………………………..………………………………………………………..
……………………………………………………………………………………………..………………….……….
DETAILS OF REFREE
Name……………………………………………………………………………………………………………...….
Date of Birth………………………………………...Place
DD/MM/YYYY
of Origin…………………………………………………….
Nationality……………………. State of Origin……………………...…... LGA…..……………………………....
Phone No…..……………………………… Marital Status………..………….Number of Children……………
Contact Address (Not P.O. Box or PMB)………………………..…………..……………………………....
……………………………………………………………………………………….……………………………….
Relationship with Applicant………………………………………………………………………………………...……
Page 2 of 2
Schools attended with dates and qualifications obtained
1) .……….…………………………………………………………………………………………………………………..
2) ……………………………………………………………………………………………......................................
3) ……………………………………………………………………………………………………………………..
PREVIOUS EMPLOYMENT RECORD
Name of Employer….…………………………………………………………………………………………….
Address (Not P.O. Box)……………………………..…………………………………………………………….
………………………………………………………………………………………………………………………...
Contact Phone Number(s):.………………………………………………………………………………………..
Period with Organisation …….……………………………………to…………………………………………….
Position Held……………………………..……………………… Duration on Position Held………………….
Name of Employer….…………………………………………………………………………………………….
Address (Not P.O. Box)……………………………..…………………………………………………………….
………………………………………………………………………………………………………………………...
Contact Phone Number(s):.………………………………………………………………………………………..
Period with Organisation …….……………………………………to…………………………………………….
Position Held……………………………..……………………… Duration on Position Held………………….
ATTESTATION
I, …………………………………………apply for employment with Fort Knox Resourcing and
Outsourcing Ltd. and vouch that the preceding information details about me are correct. I understand
that discovery of misrepresentation; fake credentials or unsatisfactory references shall lead to my
immediate dismissal.
Name of Applicant …………………………………………….. Signature………………..Date………………….