Application Form
Application Number
NNR37/2024/OYO/3046/0167031
National Identification Number
65542687315
Bank Verification Number
22657726760
Category
Imam Assistants - D6
Exam State
Oyo
Exam Center
HQ 2 DIV IBADAN
Title
Mr
Surname
Qamarudeen
First Name
Abdulrahman
Other Name
Ayomide
Height
1.96
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
Sunday, September 5, 2004
State of Origin
Oyo
LGA of Origin
Akinyele
Mobile Number
09060217364
Home Town
Ibadan
Permanent Address
No.37 Hallelujah street apapa Moniya Ibadan
Parent/ Guardian Detail
Full Name
Qamarudeen
Contact Address
Awumoro compound shasha ib
Next Of Kin
Full Name
Mustopha
Relationship
Single
Mobile Number
09116188185
Occupation
Student
Contact Address
No.37 hallelujah street apapa Moniya Ib
Application Form
Referee Details
Referee Name Phone Referee Address
Qamarudeenabdulrahman 09060217364 No.37 hallelujah street apapa Moniya Ib
Musthopa 09116188185 No 37 hallelujah street apapa Moniya Ib
Primary Details
School Qualification From To
RAHMAT INTERNATIONAL GROUP OF SCH fslc 2005 2010
Secondary Details
School Qualification From To
RAHMAT INTERNATIONAL GROUP OF SCH waec 2015 2021
SSCE / NECO / WASSCE / GCE
Subject Grade Examination
Mathematics E8 PASS 4310805115
English C4 CREDIT 4310805115
Economics C6 CREDIT 4310805115
Civic Education C6 CREDIT 4310805115
Islamic Studies D7 PASS 4310805115
Tertiary Details
Institution Course of Study Type From To Grade
Islamic Art ond 2021 2023 pass
Application Form
APPLICANT'S DECLARATION
Application Number
NNR37/2024/OYO/3046/0167031
Application Number: NNR37/2024/OYO/3046/0167031
I Qamarudeen Abdulrahman , 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/OYO/3046/0167031
Title
Mr
Surname
Qamarudeen
First Name
Abdulrahman
Other Name
Ayomide
Height
1.96
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
Sunday, September 5, 2004
State of Origin
Oyo
LGA of Origin
Akinyele
Mobile Number
09060217364
Home Town
Ibadan
Permanent Address
No.37 Hallelujah street apapa Moniya Ibadan
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/OYO/3046/0167031
Title
Mr
Surname
Qamarudeen
First Name
Abdulrahman
Other Name
Ayomide
Height
1.96
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
Sunday, September 5, 2004
State of Origin
Oyo
LGA of Origin
Akinyele
Mobile Number
09060217364
Home Town
Ibadan
Permanent Address
No.37 Hallelujah street apapa Moniya Ibadan
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/OYO/3046/0167031
Title
Mr
Surname
Qamarudeen
First Name
Abdulrahman
Other Name
Ayomide
Height
1.96
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
Sunday, September 5, 2004
State of Origin
Oyo
LGA of Origin
Akinyele
Mobile Number
09060217364
Home Town
Ibadan
Permanent Address
No.37 Hallelujah street apapa Moniya Ibadan
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/OYO/3046/0167031
Applicant's Full Name: Qamarudeen Abdulrahman
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:_____________________________________________________