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Application Form
Application Number
NNR37/2024/JIG/3642/0104729
National Identification Number
14754609167
Bank Verification Number
22770065043
Category
Seaman - D1
Exam State
Kano
Exam Center
NAF BASE KANO
Title
Mr
Surname
Abdullahi
First Name
Isah
Other Name
Height
1.91
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
Thursday, August 18, 2005
State of Origin
Jigawa
LGA of Origin
Guri
Mobile Number
08107158564
Home Town
Jigawa
Permanent Address
Hadejia
Parent/ Guardian Detail
Full Name
Abdullahi Muhammad
Contact Address
Hadejia
Next Of Kin
Full Name
Hafsat
Relationship
Single
Mobile Number
09126935580
Occupation
Nurse
Contact Address
Hadejia
:
Application Form
Referee Details
Referee Name Phone Referee Address
Ahmad Buba Muhammad +234 812 934 3449 Hadejia
Hadiza garba 0701 311 0956 Hadejia
Primary Details
School Qualification From To
Galdimari primary school fslc 2011 2016
Secondary Details
School Qualification From To
Onward college katsina waec 2017 2022
SSCE / NECO / WASSCE / GCE
Subject Grade Examination
Mathematics B3 GOOD 4211913005
English B3 GOOD 4211913005
Chemistry A1 EXCELLENT 4211913005
Biology C4 CREDIT 4211913005
Agricultural Science C5 CREDIT 4211913005
Islamic Studies C5 CREDIT 4211913005
Tertiary Details
:
:
Institution Course of Study Type From To Grade
Application Form
APPLICANT'S DECLARATION
Application Number
NNR37/2024/JIG/3642/0104729
Application Number: NNR37/2024/JIG/3642/0104729

I Abdullahi Isah, hereby declare that the information given in this application is true and that if
found to be false I should be prosecuted.
Signature: _______________________________ Date: _______________________________
Certification by Parents / Guardian
I _____________________________________ parent/guardian of ______________________________________, who

is applying for recruitment into the Nigerian Navy, 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 Government in respect of death or any injury which my child/ward
may sustain in the course of or as a result of any task given to him/her during the exercise.
Parent / Guardian Witness
Name: _________________________________ Name: _________________________________
Address: _______________________________ Address: _______________________________
Signature: _______________________________ Signature: _______________________________
Date:_______________________________ Date:_______________________________
:
Application Form
LOCAL GOVERNMENT AREA CERTIFICATION
Application Number
NNR37/2024/JIG/3642/0104729
Title
Mr
Surname
Abdullahi
First Name
Isah
Other Name
Height
1.91
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
State of Origin
Jigawa
LGA of Origin
Guri
Mobile Number
08107158564
:
Home Town
Jigawa
Permanent Address
Hadejia
Certification by LGA Chairman / Secretary Or Senior Military

O!cer not below the rank of Commander or equivalent Or
Chief Superintendent Of Police from Applicant's State of Origin
I certify that the applicant ____________________________________________ is an indigene of

_____________________________ L.G.A, ________________ State, and that to the best of my knowledge and
belief, the facts stated on the form are correct. I hereby declare that if any statement made in
connection with this application is proven to be false I should be prosecuted.
Name:_____________________________________________________________________
Address:________________________________________________________________________________________
Signature:_________________________________________
Date:_________________________________________
:
Application Form
POLICE CERTIFICATION
Application Number
NNR37/2024/JIG/3642/0104729
Title
Mr
Surname
Abdullahi
First Name
Isah
Other Name
Height
1.91
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
State of Origin
Jigawa
LGA of Origin
Guri
Mobile Number
08107158564
:
Home Town
Jigawa
Permanent Address
Hadejia
Certification by LGA Chairman / Secretary Or Senior Military O!cer not

below the rank of Commander or equivalent Or Chief Superintendent Of
Police from Applicant's State of Origin
I certify that the applicant ____________________________________________ is an indigene of
_____________________________ L.G.A, ________________ State, and that to the best of my knowledge and
belief, the facts stated on the form are correct. I hereby declare that if any statement made in
connection with this application is proven to be false I should be prosecuted.
Name:_____________________________________________________________________
Address:________________________________________________________________________________________
Signature:_________________________________________
Date:_________________________________________
Certification by Divisional Police O!cer
I certify that the applicant _________________________________ is an indigene of
______________________Town, _________________________ L.G.A, ________________ State and that his/her
parent hails from __________________________ L.G.A. of _________________ State. That he/she has no
criminal record on him/her. (If any state briefly
____________________________________________________________________________________________________________________________
That 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 this application is proven to be false I should
be prosecuted.
Name:_______________________________
Address:_______________________________
Signature:_______________________________
Date:_______________________________
:
GUARANTOR'S Certification
Application Number
NNR37/2024/JIG/3642/0104729
Title
Mr
Surname
Abdullahi
First Name
Isah
Other Name
Height
1.91
Religion
Islam
Marital Status
Single
Gender
M
Date Of Birth
State of Origin
Jigawa
LGA of Origin
Guri
Mobile Number
08107158564
:
Home Town
Jigawa
Permanent Address
Hadejia
Particulars of Guarantor
Surname: ______________________________________ First Name: ____________________________________

Middle Name: _________________________________ Town: _________________________________________
LGA: __________________________________________ State of Origin: ________________________________
Mobile: ________________________________________ E-mail: ________________________________________
Appointment: __________________________________ How long have you known the candidate:_______
Formation/Unit/O!ce Address: _________________________________________________________________
Residential Address: ___________________________________________________________________________
Contact Address: ______________________________________________________________________________
Name: ______________________________________
Address: __________________________________________________________________________
Signature:__________________________________________
Date:________________________________________
This form is to be filled by a Military O!cer not below the rank of Lt Col or equivalent/Police
O!cer not below the rank of Chief Superintendent of Police/Assistant Director at either
Federal or State Civil Service certifying the eligibility of the applicant. You need not to come from
an applicant’s State of Origin to guarantee him/her only be sure of the character. Please note that
inability to confirm the above given information about you, will lead to automatic disqualification of
the candidate.
:
Application Form
FOR OFFICIAL USE ONLY
Application Number: NNR37/2024/JIG/3642/0104729

Applicant's Full Name: Abdullahi Isah
Date Received:_____________________________________
Education Qualification: Number Of Credits/Passes obtained (SSCE / GCE / WASCE / NECO):_______
Documents Attached
a)_____________________________________________________
b)_____________________________________________________
c)_____________________________________________________
d)_____________________________________________________
e)_____________________________________________________
Detailed Result
Medical fitness:_____________________________________________________
General aptitude test score:_____________________________________________________
Vocational aptitude test score:_____________________________________________________
Remark
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
Director
Rank:_____________________________________________________
Name:_____________________________________________________
Signature and Date:_____________________________________________________
:
:
:

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Application Form

Parent/ Guardian Detail

Referee Name Phone Referee Address

Ahmad Buba Muhammad +234 812 934 3449 Hadejia

Hadiza garba 0701 311 0956 Hadejia

Galdimari primary school fslc 2011 2016

School Qualification From To

Onward college katsina waec 2017 2022

SSCE / NECO / WASSCE / GCE

Subject Grade Examination

Mathematics B3 GOOD 4211913005

English B3 GOOD 4211913005

Chemistry A1 EXCELLENT 4211913005

Biology C4 CREDIT 4211913005

Agricultural Science C5 CREDIT 4211913005

Islamic Studies C5 CREDIT 4211913005

Application Number: NNR37/2024/JIG/3642/0104729

Signature: _______________________________ Date: _______________________________

Certification by Parents / Guardian

I _____________________________________ parent/guardian of ______________________________________, who

Certification by LGA Chairman / Secretary Or Senior Military

I certify that the applicant ____________________________________________ is an indigene of

Certification by LGA Chairman / Secretary Or Senior Military O!cer not

Surname: ______________________________________ First Name: ____________________________________

Application Number: NNR37/2024/JIG/3642/0104729

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