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Nysc ONLINE-REGISTRATION Form-4

This document contains fields for collecting a person's personal identification information, personal details, health details, nationality, address, next of kin data, education history, military service history, language skills, state visits, and clothing sizes for kits. Fields include registration numbers, passport information, date and place of birth, physical health, address, emergency contacts, schools attended, degrees earned, military or government service, languages spoken, and clothing measurements.

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8K views1 page

Nysc ONLINE-REGISTRATION Form-4

This document contains fields for collecting a person's personal identification information, personal details, health details, nationality, address, next of kin data, education history, military service history, language skills, state visits, and clothing sizes for kits. Fields include registration numbers, passport information, date and place of birth, physical health, address, emergency contacts, schools attended, degrees earned, military or government service, languages spoken, and clothing measurements.

Uploaded by

favouredcafebasic
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PERSONAL IDENTIFICATION

Qualification
JAMB Reg. Number
Matric No.
PERSONAL DATA PASSPORT
Title
First Name
Surname
Date of Birth
Place of Birth
Gender
Marital Status
Already Have a Previous Call-up? Yes No
HEALTH DEAILS
State of Health
Physically Challenged
NATIONALITY
State of origin
Local Government Area
ADDRESS
PRESENT ADDRESS PERMANENT ADDRESS
Address:
Town:
State:
NEXT OF KIN DATA
NEXT OF KIN (1) NEXT OF KIN (2)
Name:
Relationship:
GSM Number:
Address:
Town:
State:
INSTITUTION ATTENDED
PRIMARY INSTITUTION DETAILS SECONDARY INSTITUTION DETAILS
Institution:
From:
To:
Award:
Date of Graduation:
INSTITUTION DETAILS
Institution:
From:
To:
Course:
Award:
MILITARY PERSONNEL, PARAMILITARY & NATIONAL AWARD HONOUR
Are you a serving member of Nigerian Armed Force (NAF, NA, or NAVY) and served for minimum of 9 months? Yes No
Are you a serving member of National Intelligence Agency (NIA)? Yes No
Are you a serving member of Nigerian Police Force (NPF)? Yes No
Are you a National Awardee? Yes No
Nigerian Language(s) you speak
Nigerian State(s) visited
KITS SPECIFICATION
S/N SIZE LENGHT CHEST NECK S/N SIZE LENGHT CHEST NECK
Small 30-32 32-35 12-14 Small 40-41 28-32 18-20
Medium 32-33 36-38 14-15 Medium 41-42 34-36 20-21
Large 35-36 38-40 15-16 Large 42-43 36-38 21-22
X-Large 36-38 40-42 16-17 X-Large 43-44 38-38 22-23
XXLarge 38-40 44-46 18-20

For More Enquiries On NYSC Matters, Information & Updates, Visit Our Information Blog:
www.nyscbroadcast.com

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