Employee Record Form: Employee'S Passport Photograph

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EMPLOYEE’S

PASSPORT
PHOTOGRAPH

EMPLOYEE RECORD FORM


Name

Current Residential Address:

Tel. No(s): Email:

State of Origin: LGA:

Date of Birth: Nationality:

Gender: Marital Status:

Genotype: Blood Group

Designation:

Department:

Date of Employment: Branch:

ACADEMIC QUALIFICATION

Name & Address of Schools, Colleges, university, etc. From To Certificates Obtained

PREVIOUS EMPLOYMENT DETAILS:


Employer's Contact
Name of Employer Address of Employer Details From To Positions Held
Mother’s Maiden Name:

Spouse Name

Spouse Address Address:

Tel. No(s): Email:

Next of Kin: NEXT OF KIN (EMERGENCY) NEXT OF KIN (BENEFICIARY)

Name Name:

Address: Address:

Tel. No(s): Tel. No(s):

Relationship: Relationship:

BANK DETAILS
Name of Account Holder:

Bank/Financial Institution:

Account Number:

PENSION ADMINISTRATOR DETAILS


Name of Account Holder:

Pension Fund Administrator Name:


RSA Number:

References:
1. Name:

Address:

Phone: Email:

2. Name:

Address:

Phone: Email:

Languages Spoken: _____________________________________ Hobbies: ____________________________

Declaration:

I hereby certify that all information stated above are correct and can be verified.

Note: Kindly attach your updated CV with copies of your credentials.

Signature: ________________________________________ Date: _______________________________

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