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SHP Lifts - Data Information Form.

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regginacarter
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16 views3 pages

SHP Lifts - Data Information Form.

Uploaded by

regginacarter
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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HUMAN RESOURCES STAFF DATABASE INFORMATION

(Please fill in the details appropriately and accurately)

Name: (Surname First) __________________/_____________________/______________________


(Surname) (Middle Name) (First Name)

Known As: __________________

Residential Address (Current): ________________________________________________________

_________________________________________________________________________________

State of Origin: ___________________________Local Government: _________________________

Nationality: ______________________________

Gender: __________________________________________________________________________

Date of Birth: ________/______/__________


Day / Month / Year

Age: ______

Email: _______________________________

Telephone 1: ________________________________ Telephone 2: ______________________________

Last Employer: ________________________________________________________________________

Address of Last Employer: ______________________________________________________________

_____________________________________________________________________________________

Phone Number of Last Employer: _______________________________________

Email of Last Employer ____________________________________________________

MARITAL STATUS: SINGLE DIVORCED

MARRIED WIDOWED
NAME OF SPOUSE - ___________________________________________________________________

ADDRESS OF SPOUSE - ___________________________________________________________________

PHONE NUMBER AND EMAIL OF SPOUSE


___________________________________________________________________

NUMBER OF CHILDREN (If any): ___________________________________________________________________

FULL NAME DATE OF BIRTH

(1) _________________________________________ _______________________________________

(2) _________________________________________ _______________________________________

(3) _________________________________________ _______________________________________

EDUCATION

SECONDARY EDUCATION YEAR ATTENDED YEAR GRADUATED

UNIVERSITY EDUCATION DEGREE CLASS OF DEGREE YEAR GRADUATED


AWARDED (BSc/OND) (2nd Class etc…) (2012-2016)

HEALTH/FITNESS

1) Do you have any health peculiarities? If yes, please state details:


_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
2) Do you or are you soon likely to use glasses or any other aided device? If yes please specify:
_______________________________________________________________
_______________________________________________________________
Emergency Contact
In the event of an emergency, please indicate the name and contact information of two individuals
you would like us to contact.

Name of Full Phone number(s) and email


emergency Address (daytime) of the emergency Relationship
contact(s) contact

ADDITIONAL INFORMATION

NOTE: Providing false information can lead to termination of employment

1) Have you been convicted of any criminal offence (including driving offences) in Nigeria or any other
country, at any time?

YES NO

(If ‘Yes’ please provide details)

2) Have you been arrested and charged with any offence and are awaiting, or currently on trial?
YES NO

(If ‘Yes’ please provide details)

EMPLOYEE SIGNATURE ____________________________________________

DATE__________________________________________________

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