This document was last modified on 2023-10-04 10:04:00.
130220
PHOTO CARD
Surname MANSIR
First Name USMAN
Other Name(s)
Regular Intake 86RRI
Application Number 86RRI/KT/6574473
This document was last modified on 2023-10-04 10:04:00.130220
ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION
Application Number 86RRI/KT/6574473
Full Name MANSIR USMAN
State of Origin Katsina
Address Kankara local government
Subject Grades
Serial Exam Type Subject Grade Date
1 NECO ANIMAL HUSBANDRY B3 2021-07-01
2 NECO GENERAL MATHEMATICS OR MATHEMATICS (CORE) B3 2021-07-01
3 NECO ECONOMICS C5 2021-07-01
4 NECO ENGLISH LANGUAGE C5 2021-07-01
5 NECO CIVIC EDUCATION C5 2021-07-01
6 NECO HAUSA C4 2021-07-01
7 NECO BIOLOGY C5 2021-07-01
8 NECO ISLAMIC RELIGIOUS STUDIES C4 2021-07-01
DECLARATION BY APPLICANT
I (above named) hereby declare that the information given in this application is true and if found to be false I shall be prosecuted.
Sign _____________________________________ Date ____________________
This document was last modified on 2023-10-04 10:04:00.130220
ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION
Application Number 86RRI/KT/6574473
Full Name MANSIR USMAN
State of Origin Katsina
Address Kankara local government
DECLARATION BY PARENT/GUARDIAN OF APPLICANT
(To be made at a recognised court of law)
I ______________________________ parent/guardian of USMAN MANSIR who is applying for the recruitment into the Nigerian Army, 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 Governemnt in respect for death or injury which my child/ward may sustain in the course of or as a result of any task
given to him during the exercise.
Parent/Guardian Sign _____________________________________ Date ____________________
Parent/Guardian Witnesses
Before Me ________________________________________
Name and Signature of witness
Address _____________________________________
Date ________________________________________
Before Me ________________________________________
Name and Signature of witness
Address _____________________________________
Date ________________________________________
This document was last modified on 2023-10-04 10:04:00.130220
ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION
Application Number 86RRI/KT/6574473
Full Name MANSIR USMAN
State of Origin Katsina
Address Kankara local government
CERTIFICATION BY LOCAL GOVERNMENT CHAIRMAN/SECRETARY
I certify that the applicant _______________________________ is an indigene of _______________ LGA ___________ State. To the best of my
knowledge and belief the facts stated on the form are correct.
Name: _______________________________________
Address: _____________________________________
_____________________________________________
_____________________________________________
Signature (Council Stamp):______________________
Date: ________________________________________
This document was last modified on 2023-10-04 10:04:00.130220
ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION
POLICE CERTIFICATION
To be completed by a DPO
Application Number 86RRI/KT/6574473
Full Name MANSIR USMAN
Date of Birth/ Gender 2001-03-04/Male
State of Origin (LGA) Katsina(Kankara)
CERTIFICATION BY DPO
I certify that the applicant ___________________________ is an indigene of ________________ LGA _________ State and that his/her parent hails
from _________ LGA _________ State. That he/she has no criminal record (If any state below).
.
This is 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 htis application is preven false. I shall be prosecuted.
Name of Referee: ____________________________________________________________________
Contact Address: ____________________________________________________________________
Email: ______________________________________________________________________________
Phone: ______________________________________________________________________________
Signature: __________________________________________________________________________
Date: _______________________________________________________________________________
This document was last modified on 2023-10-04 10:04:00.130220
ARMY HEADQUARTERS
DEPARTMENT OF ARMY ADMINISTRATION
GUARANTOR'S FORM
(Any false information provided on an applicant could attract criminal prosecution in a court of law)
To be completed by A Military Officer not below the rank of Major or equivalent Police Officer not below the rank of Chief Superintendent of
Police/Assistant Director of either Federal or State Civil Service certifying the eligibility of the applicant. You need not to come from the
applicant's State of Origin to guarntee him/her only be sure of the character. Please note that inability to confirm the below given
information about you will lead to automatic disqualification of the candidate.
Application Number 86RRI/KT/6574473
Full Name MANSIR USMAN
Date of Birth/ Gender 2001-03-04/Male
State of Origin (LGA) Katsina(Kankara)
PARTICULARS OF GUARANTOR
PASSPORT
PHOTOGRAPH
First Name: _________________________________________________________________________
Surname: ____________________________________________________________________________
Other names: ________________________________________________________________________
Contact Address: ____________________________________________________________________
Email: ______________________________________________________________________________
Phone: ______________________________________________________________________________
State of Origin: ____________________________________________________________________
LGA: ________________________________________________________________________________
Town: _______________________________________________________________________________
Formation/Unit: _____________________________________________________________________
Rank/Appointment: ___________________________________________________________________
How long have your known the applicant ?: ___________________________________________
Signature: __________________________________________________________________________
Date/Stamp: _________________________________________________________________________
