APPLICANTS DATA FORM
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Applicant's Name
Date of Birth
Place of Birth (State)
Select
Abuja F.C.T
Abia
Adamawa
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Bayelsa
Benue
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Delta
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Local Government Area
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Abadam
Askira/Uba
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Hawul
Jere
Kaga
Kala/Balge
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Kwaya Kusar
Mafa
Magumeri
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Marte
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Monguno
Ngala
Nganzai
Shani
Aba North
Aba South
Arochukwu
Bende
Isiala Ngwa North
Isiala Ngwa South
Ikwuano
Obi Ngwa
Ohafia
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Ukwa East
Ukwa West
Umuahia North
Umuahia South
Umu Nneochi
Demsa
Fufore
Ganye
Girei
Gombi
Guyuk
Hong
Jada
Lamurde
Madagali
Maiha
Mayo-Belwa
Michika
Mubi North
Mubi South
Numan
Shelleng
Song
Toungo
Yola North
Yola South
Abak
Eastern Obolo
Eket
Esit Eket
Essien Udim
Etim Ekpo
Etinan
Ibeno
Ibesikpo Asutan
Ibiono-Ibom
Ika
Ikono
Ikot Abasi
Ikot Ekpene
Ini
Itu
Mbo
Mkpat-Enin
Nsit-Atai
Nsit-Ibom
Nsit-Ubium
Obot Akara
Okobo
Onna
Oron
Oruk Anam
Udung-Uko
Ukanafun
Uruan
Urue-Offong/Oruko
Uyo
Aguata LGA
Awka North LGA
Awka South LGA
Anambra East LGA
Anambra West LGA
Anaocha LGA
Ayamelum LGA
Dunukofia LGA
Ekwusigo LGA
Idemili North LGA
Idemili South LGA
Ihiala LGA
Njikoka LGA
Nnewi North LGA
Nnewi South LGA
Ogbaru LGA
Onitsha North LGA
Onitsha South LGA
Orumba North LGA
Orumba South LGA
Oyi LGA
Bauchi LGA
Tafawa Balewa LGA
Dass LGA
Toro LGA
Bogoro LGA
Ningi LGA
Warji LGA
Ganjuwa LGA
Kirfi LGA
Alkaleri LGA
Darazo LGA
Misau LGA
Giade LGA
Shira LGA
Jama’are LGA
Katagum LGA
Itas/Gadau LGA
Zaki LGA
Gamawa LGA
Damban LGA
Brass LGA
Ekeremor LGA
Kolokuma/Opokuma LGA
Nembe LGA
Ogbia LGA
Sagbama LGA
Southern Ijaw LGA
Yenagoa LGA
Ado LGA
Agatu LGA
Apa LGA
Buruku LGA
Gboko LGA
Guma LGA
Gwer East LGA
Gwer West LGA
Katsina-Ala LGA
Konshisha LGA
Kwande LGA
Logo LGA
Makurdi LGA
Obi LGA
Ogbadibo LGA
Ohimini LGA
Oju LGA
Okpokwu LGA
Otukpo LGA
Tarka LGA
Ukum LGA
Ushongo LGA
Vandeikya LGA
Abadan LGA
Askira/Uba LGA
Bama LGA
Bayo LGA
Biu LGA
Chibok LGA
Damboa LGA
Dikwagubio LGA
Guzamala LGA
Gwoza LGA
Hawul LGA
Jere LGA
Kaga LGA
Kalka/Balge LGA
Konduga LGA
Kukawa LGA
Kwaya-ku LGA
Mafa LGA
Magumeri LGA
Maiduguri LGA
Marte LGA
Mobbar LGA
Monguno LGA
Ngala LGA
Nganzai LGA
Shani LGA
Abi LGA
Akamkpa LGA
Akpabuyo LGA
Bakassi LGA
Bekwarra LGA
Biase LGA
Boki LGA
Calabar Municipal
Calabar South LGA
Etung LGA
Ikom LGA
Obanliku LGA
Obubra LGA
Obudu LGA
Odukpani LGA
Ogoja LGA
Yakuur LGA
Yala LGA
Aniocha South LGA
Aniocha North LGA
Bomadi LGA
Burutu LGA
Ethiope West LGA
Ethiope East LGA
Ika South LGA
Ika North East LGA
Isoko South LGA
Isoko North LGA
Ndokwa East LGA
Ndokwa West LGA
Okpe LGA
Oshimili North LGA
Oshimili South LGA
Patani LGA
Sapele LGA
Udu LGA
Ughelli South LGA
Ughelli North LGA
Ukwuani LGA
Uvwie LGA
Warri Central LGA
Warri North LGA
Warri South LGA
Abakaliki LGA
Afikpo North LGA
Afikpo South (Edda) LGA
Ebonyi LGA
Ezza North LGA
Ezza South LGA
Ikwo LGA
Ishielu LGA
Ivo LGA
Izzi LGA
Ohaozara LGA
Ohaukwu LGA
Onicha LGA
Aninri LGA
Awgu LGA
Enugu East LGA
Enugu North LGA
Enugu South LGA
Ezeagu LGA
Igbo Etiti LGA
Igbo Eze North LGA
Igbo Eze South LGA
Isi Uzo LGA
Nkanu East LGA
Nkanu West LGA
Nsukka LGA
Oji River LGA
Udenu LGA
Udi LGA
Uzo-Uwani LGA
Akoko-Edo LGA
Egor LGA
Esan Central LGA
Esan North-East LGA
Esan South-East LGA
Esan West LGA
Etsako Central LGA
Etsako East LGA
Etsako West LGA
Igueben LGA
Ikpoba-Okha LGA
Oredo LGA
Orhionmwon LGA
Ovia North-East LGA
Ovia South-West LGA
Owan East LGA
Owan West LGA
Uhunmwonde LGA
Ado-Ekiti LGA
Ikere LGA
Oye LGA
Aiyekire (Gbonyin) LGA
Efon LGA
Ekiti East LGA
Ekiti South-West LGA
Ekiti West LGA
Emure LGA
Ido-Osi LGA
Ijero LGA
Ikole LGA
Ilejemeje LGA
Irepodun/Ifelodun LGA
Ise/Orun LGA
Moba LGA
Akko LGA
Balanga LGA
Billiri LGA
Dukku LGA
Dunakaye LGA
Gombe LGA
Kaltungo LGA
Kwami LGA
Nafada/Bajoga LGA
Shomgom LGA
Yamaltu/Deba LGA
Aboh Mbaise LGA
Ahiazu Mbaise LGA
Ehime Mbano LGA
Ezinihitte Mbaise LGA
Ideato North LGA
Ideato South LGA
Ihitte/Uboma LGA
Ikeduru LGA
Isiala Mbano LGA
Isu LGA
Mbaitoli LGA
Ngor-Okpala LGA
Njaba LGA
Nkwerre LGA
Nwangele LGA
Obowo LGA
Oguta LGA
Ohaji/Egbema LGA
Okigwe LGA
Onuimo LGA
Orlu LGA
Orsu LGA
Oru East LGA
Oru West LGA
Owerri Municipal
Owerri North LGA
Owerri West LGA
Auyo LGA
Babura LGA
Biriniwa LGA
Birnin Kudu LGA
Buji LGA
Dutse LGA
Gagarawa LGA
Garki LGA
Gumel LGA
Guri LGA
Gwaram LGA
Gwiwa LGA
Hadejia LGA
Jahun LGA
Kafin Hausa LGA
Kaugama LGA
Kazaure LGA
Kiri Kasama LGA
Kiyawa LGA
Maigatari LGA
Malam Madori LGA
Miga LGA
Ringim LGA
Roni LGA
Sule Tankarkar LGA
Taura LGA
Yankwashi LGA
Birnin Gwari LGA
Chikun LGA
Giwa LGA
Igabi LGA
Ikara LGA
Jaba LGA
Jema’a LGA
Kachia LGA
Kaduna North LGA
Kaduna South LGA
Kagarko LGA
Kajuru LGA
Kaura LGA
Kauru LGA
Kubau LGA
Kudan LGA
Lere LGA
Makarfi LGA
Sabon Gari LGA
Sanga LGA
Soba LGA
Zangon Kataf LGA
Zaria LGA
Ajingi LGA
Albasu LGA
Bagwai LGA
Bebeji LGA
Bichi LGA
Bunkure LGA
Dala LGA
Dambatta LGA
Dawakin Kudu LGA
Dawakin Tofa LGA
Doguwa LGA
Fagge LGA
Gabasawa LGA
Garko LGA
Garun Mallam LGA
Gaya LGA
Gezawa LGA
Gwale LGA
Gwarzo LGA
Kabo LGA
Kano Municipal
Karaye LGA
Kibiya LGA
Kiru LGA
Kumbotso LGA
Kunchi LGA
Kura LGA
Madobi LGA
Makoda LGA
Minjibir LGA
Nassarawa LGA
Rano LGA
Rimin Gado LGA
Rogo LGA
Shanono LGA
Sumaila LGA
Takai LGA
Tarauni LGA
Tofa LGA
Tsanyawa LGA
Tudun Wada LGA
Ungogo LGA
Warawa LGA
Wudil LGA
Bakori LGA
Batagarawa LGA
Batsari LGA
Baure LGA
Bindawa LGA
Charanchi LGA
Dan Musa LGA
Dandume LGA
Danja LGA
Daura LGA
Dutsi LGA
Dutsin-Ma LGA
Faskari LGA
Funtua LGA
Ingawa LGA
Jibia LGA
Kafur LGA
Kaita LGA
Kankara LGA
Kankia LGA
Katsina LGA
Kurfi LGA
Kusada LGA
Mai’Adua LGA
Malumfashi LGA
Mani LGA
Mashi LGA
Matazu LGA
Musawa LGA
Rimi LGA
Sabuwa LGA
Safana LGA
Sandamu LGA
Zango LGA
Aleiro LGA
Arewa Dandi LGA
Argungu LGA
Augie LGA
Bagudo LGA
Birnin Kebbi LGA
Bunza LGA
Dandi LGA
Fakai LGA
Gwandu LGA
Jega LGA
Kalgo LGA
Koko/Besse LGA
Maiyama LGA
Ngaski LGA
Sakaba LGA
Shanga LGA
Suru LGA
Danko/Wasagu LGA
Yauri LGA
Zuru LGA
Agege LGA
Alimosho Ifelodun LGA
Alimosho LGA
Amuwo-Odofin LGA
Apapa LGA
Badagry LGA
Epe LGA
Eti-Osa LGA
Ibeju-Lekki LGA
Ifako/Ijaye LGA
Ikeja LGA
Ikorodu LGA
Kosofe LGA
Lagos Island LGA
Lagos Mainland LGA
Mushin LGA
Ojo LGA
Oshodi-Isolo LGA
Shomolu LGA
Surulere LGA
Akwanga LGA
Awe LGA
Doma LGA
Karu LGA
Keana LGA
Keffi LGA
Kokona LGA
Lafia LGA
Nasarawa LGA
Nassarawa/Eggon LGA
Obi LGA
Toto LGA
Wamba LGA
Agaie LGA
Agwara LGA
Bida LGA
Borgu LGA
Bosso LGA
Chanchaga LGA
Edati LGA
Gbako LGA
Gurara LGA
Katcha LGA
Kontagora LGA
Lapai LGA
Lavun LGA
Magama LGA
Mariga LGA
Mashegu LGA
Mokwa LGA
Munya LGA
Paikoro LGA
Rafi LGA
Rijau LGA
Shiroro LGA
Suleja LGA
Tafa LGA
Wushishi LGA
Abeokuta North LGA
Abeokuta South LGA
Ado-Odo/Ota LGA
Ewekoro LGA
Ifo LGA
Ijebu East LGA
Ijebu North LGA
Ijebu North East LGA
Ijebu Ode LGA
Ikenne LGA
Imeko Afon LGA
Ipokia LGA
Obafemi Owode LGA
Odogbolu LGA
Odeda LGA
Ogun Waterside LGA
Remo North LGA
Sagamu LGA
Yewa North LGA
Yewa South LGA
Akoko North LGA
Akoko North East LGA
Akoko South East LGA
Akoko South LGA
Akure North LGA
Akure LGA
Idanre LGA
Ifedore LGA
Ese Odo LGA
Ilaje LGA
Ile Oluji/Okeigbo LGA
Irele LGA
Odigbo LGA
Okitipupa LGA
Ondo LGA
Ondo East LGA
Ose LGA
Owo LGA
Atakumosa West LGA
Atakumosa East LGA
Ayedaade LGA
Ayedire LGA
Bolawaduro LGA
Boripe LGA
Ede LGA
Ede North LGA
Egbedore LGA
Ejigbo LGA
Ife North LGA
Ife Central LGA
Ife South LGA
Ife East LGA
Ifedayo LGA
Ifelodun LGA
Ilesha West LGA
Ila-Orangun LGA
Ilesha East LGA
Irepodun LGA
Irewole LGA
Isokan LGA
Iwo LGA
Obokun LGA
Odo-Otin LGA
Ola Oluwa LGA
Olorunda LGA
Oriade LGA
Orolu LGA
Osogbo LGA
Akinyele Moniya LGA
Afijio Jobele LGA
Egbeda LGA
Ibadan North Agodi Gate LGA
Ibadan North-East Iwo Road LGA
Ibadan North-West LGA
Ibadan South-West Ring Road LGA
Ibadan South-East Mapo LGA
Ibarapa North LGA
Ibarapa Central LGA
Ibarapa East Eruwa LGA
Ido LGA
Irepo LGA
Iseyin LGA
Kajola LGA
Lagelu LGA
Ogbomoso North LGA
Ogbomoso South LGA
Oyo West Ojongbodu LGA
Atiba Ofa Meta LGA
Atisbo Tede LGA
Saki West LGA
Saki East LGA
Itesiwaju Otu LGA
Iwajowa LGA
Olorunsogo LGA
Oluyole LGA
Ogo Oluwa LGA
Surulere LGA
Orelope LGA
Ori Ire LGA
Oyo East LGA
Ona Ara LGA
Barkin Ladi LGA
Bassa LGA
Bokkos LGA
Jos East LGA
Jos North LGA
Jos South LGA
Kanam LGA
Kanke LGA
Langtang North LGA
Langtang South LGA
Mangu LGA
Mikang LGA
Pankshin LGA
Qua'an Pan LGA
Riyom LGA
Shendam LGA
Wase LGA
Abua-Odual LGA
Ahoada East LGA
Ahoada West LGA
Akuku-Toru LGA
Andoni LGA
Asari-Toru LGA
Bonny LGA
Degema LGA
Eleme LGA
Emohua LGA
Etche LGA
Gokana LGA
Ikwerre LGA
Oyigbo LGA
Khana LGA
Obio-Akpor LGA
Ogba-Egbema-Ndoni LGA
Ogu-Bolo LGA
Okrika LGA
Omumma LGA
Opobo-Nkoro LGA
Port Harcourt LGA
Tai LGA
Binji LGA
Bodinga LGA
Dange Shuni LGA
Gada LGA
Goronyo LGA
Gudu LGA
Gwadabawa LGA
Illela LGA
Isa LGA
Kebbe LGA
Kware LGA
Rabah LGA
Sabon Birni LGA
Shagari LGA
Silame LGA
Sokoto North LGA
Sokoto South LGA
Tambuwal LGA
Tangaza LGA
Tureta LGA
Wamako LGA
Wurno LGA
Yabo LGA
Ardo Kola LGA
Bali LGA
Donga LGA
Gashaka LGA
Gassol LGA
Ibi LGA
Jalingo LGA
Karim Lamido LGA
Kurmi LGA
Lau LGA
Sardauna LGA
Takum LGA
Ussa LGA
Wukari LGA
Yorro LGA
Zing LGA
Bade LGA
Bursari LGA
Damaturu LGA
Geidam LGA
Gujba LGA
Gulani LGA
Fika LGA
Fune LGA
Jakusko LGA
Karasuwa LGA
Machina LGA
Nangere LGA
Nguru LGA
Potiskum LGA
Tarmuwa LGA
Yunusari LGA
Yusufari LGA
Anka LGA
Bakura LGA
Birnin Magaji/Kiyaw LGA
Bukkuyum LGA
Bungudu LGA
Tsafe (Chafe) LGA
Gummi LGA
Gusau LGA
Kaura Namoda LGA
Maradun LGA
Maru LGA
Shinkafi LGA
Talata Mafara LGA
Zurmi LGA
Abaji LGA
Abuja Municipal
Gwagwalada LGA
Kuje LGA
Bwari LGA
Kwali LGA
State of Origin
Abuja F.C.T
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Gender
Select
Male
Female
Nationality
Religion
Select
Christianity
Muslim
Others
Religion (Others)
Permanent Residential Address
Marital Status
Select
Single
Married
Whom Do You Stay With
Select
Self
Father
Mother
Uncle
Aunty
Brother
Sister
Relative
Friend
Clergy
Can the person stand as your guarantor?
Select
Yes
No
Qualification (Discipline)
Email Address
Can You Drive?
Select
Yes
No
Years of Driving Experience
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Are You Computer Literate?
Select
Yes
No
GUARANTORS PART
Guarantor's Name
Does Guarantor Know About Your Job Search?
Select
Yes
No
How Did You Hear About vikhrm?
Select
Facebook
Twitter
Instagram
Flyers
Others
Have You Worked Before?
Select
Yes
No
Nature of Job
Organisation / Parastatal
Last Position Held
Are You Aware of the Job You Are Applying For?
Select
Yes
No
Where Do You Work Presently?
Personal Phone Number (Must be 11 digits)
Date of Application
Your Name (Must Match Applicant's Name)
Declaration
Select
Yes
No
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