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Fezzan Nigeria Limited: This Is A Sample Form. Please Visit To Apply For The Programme

This document is a sample application form for Fezzan Nigeria Limited's AKK Skill Transfer programme. It requests applicant details like name, identification, address, training preferences, employment history, education history, medical information, and bank details. Upon completion, applicants must visit www.fezzan.ng to submit the official online application.

Uploaded by

Nakky Nakkizy
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© © All Rights Reserved
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204 views5 pages

Fezzan Nigeria Limited: This Is A Sample Form. Please Visit To Apply For The Programme

This document is a sample application form for Fezzan Nigeria Limited's AKK Skill Transfer programme. It requests applicant details like name, identification, address, training preferences, employment history, education history, medical information, and bank details. Upon completion, applicants must visit www.fezzan.ng to submit the official online application.

Uploaded by

Nakky Nakkizy
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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FEZZAN NIGERIA LIMITED.

AKK SKILL TRANSFER APPLICATION FORM.


**This is a sample form. Please visit www.fezzan.ng to apply for the programme**

SIGN UP

Name

Surname

Middle Name

First Name

Identification

Phone Number

Email

National Identity Number

Date of Birth (DD/MM/YYYY)

State Of Origin & Residency

State Of Origin Residency


**This is information about your state and *This is information about where you currently
local government of origin* live. Repeat if same as State of origin.*

State

L.G.A

City

House No and
Street Name
[Current address}
FEZZAN NIGERIA LIMITED.
AKK SKILL TRANSFER APPLICATION FORM.
**This is a sample form. Please visit www.fezzan.ng to apply for the programme**

TRAINING SELECTION

First ❏ Welding ❏ Scaffolding ❏ Non-Destructive ❏ Pipe Fitting


Choice Testing

Do you have relevant industry experience in the selected field? Yes/No


If yes; Name of Employer [ If Self employed State your Name]

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you held while you worked at the organisation]

* [Incase you can not get your first choice, which other field would you like to be trained in]
Second ❏ Welding ❏ Scaffolding ❏ Non-Destructive ❏ Pipe Fitting
Choice Testing

Do you have relevant industry experience in the selected field? Yes/No


If yes; Name of Employer [ If Self employed State your Name]

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you held while you worked at the organisation]
FEZZAN NIGERIA LIMITED.
AKK SKILL TRANSFER APPLICATION FORM.
**This is a sample form. Please visit www.fezzan.ng to apply for the programme**

TRAINING SELECTION

Are you Currently employed?

If yes; Name of Employer [ If Self employed State your Name]

Address:

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you carry out]

Previous Employment??

If yes; Name of Organisation

Address:

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you held while you worked at the organisation]
FEZZAN NIGERIA LIMITED.
AKK SKILL TRANSFER APPLICATION FORM.
**This is a sample form. Please visit www.fezzan.ng to apply for the programme**

Previous Employment??

If yes; Name of Organisation

Address:

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you held while you worked at the organisation]

Previous Employment??

If yes; Name of Organisation

Address:

Position Held

From[dd/mm/year] : To: [dd/mm/year]:

Description of Duties: [ Kindly describe the responsibilities you held while you worked at the organisation]
FEZZAN NIGERIA LIMITED.
AKK SKILL TRANSFER APPLICATION FORM.
**This is a sample form. Please visit www.fezzan.ng to apply for the programme**

Are you currently a student in any Institution of Higher Learning?Yes/No

If yes; Name of Institution?

State the Institution is located in.

What is highest education qualification you have attained? *


[SSCE, ND, HND/BTEC, BSC, PgDip, MSC, PHD]

Name of Awarding Institution or Body *

Field of Study [Engineering, Physical Sciences or specify]

Course of Study

TRAINING DATA

Protective Coverall Size Safety Steel Toe boot size


Clothing **
❏ S ❏ M ❏ L ❏ XL ❏ XXL

Do you have Asthma? Blood Group:


Medical
Information ❏ YES ❏ NO ❏ A ❏ B AB ❏ O
Do you have any
other medical
condition?

If Yes, please
describe

Bank Name:
Banking
Information

Account Name: Account Number:

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