INDUSTRIAL TRAINING FUND - ITF Nigeria

PART B – EDUCATIONAL QUALIFICATIONS:14(a)(b)15(a)(b)Primary School(s) Attended:Secondary School(s) Attended:FromFromToTO16SENIOR SECONDARY EDUCATIONSSCE/NECO/TEACHERS GRADE IISubjectsGradesExam Centre:…………………….……………..Exam No:………………………Year of Exam…………………………..17PART C: CHOICE OF TRADE (Tickas applicable)1. Facility Technology (Mechanic & Electrical) FCT…………………………..…………………………….2. Information & Communication Technology (ICT)………………………….…………………………..3. Culinary Skills Western & African Dishes (CS)……………………………..……………………………..2

4. Mechatronics (Automation (ME)……………………………………………….………………………………5. Electronics (Computer & Networking) (EC)………………………………………………………………..18PART D EMPLOYER’S DETAIL (if any):Name & Address of EmploymentD A T EFrom ToPosition & Duties Performed19818PART E: MEDICAL HISTORY (please tickas appropriate and specify)(a) Have you had any serious ill health or surgical operation?............................... yes NoIf Yes, please specify……………………………………………………………………….…………………Date………………(b) Do you have any physical defect?.......................................................YesNoIf Yes, pleasespecify………………………………………………………….……………………………………………………..…………208Since the programme is non-residential, candidates are required to give their contact address in Abuja.…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………No…………………………………………..……………………………..Phone3

Date Application was Received Day / Month /Year……………………………………………………………………………………………………………………………………………………………….Is Applicant qualified for the Exams/interview? Yes No…………………………………………………………………………………………………………………………………………………………………Course for which applicant is being considered………………………………………………………………………………………………………………………………………………………………….Further action required Invite candidate Send regrets………………………………………………………………………………………………………………………………………………………………….Name & Signature of Officer making entry………………………………………………………..Date………………………………5