All applicants seeking for appointment into the Eccles Group should complete this form.

NB. 1. Failure to complete this form fully and accurately may delay consideration of the application.

NB. 2(a). It is an offence under the Criminal Code Acts for any person to give information which he knows or believes to be false.
Anyone who does so is liable to imprisonment for one year.

Full Name:

Indicate Post for which application is being made, in order of preference
(2 copies of each credentials must be submitted while coming for interview)

First


Personal Data:

Email:

Telephone:
 
Date of Birth:

Sex: Male Female Current Contact Address:
 

(any change of address must be notified immediately)
Nationality:

If an alien, state Registration No:
If Naturalized, state Certificate No:
Place of Birth:

State of Origin:

A value is required.

a) Local Govt. Area:

A value is required.

b) Town/Village:

State any other name by which you have been known:
 
State in full name of:
Father's Name:

State of Origin :

Local Government Area:

Mother's Name

State of Origin :

Local Government Area:

Spouse Name
State of Origin :
Local Government Area:

Have you ever been convicted by any court of Law (High Court, Magistrate Court, Native Court, etc)? If so give details. If not, state  “NEVER”

  A value is required.
If you are under any legal or moral obligation to serve any employer give details;
     
DETAILS OF EDUCATION AND QUALIFICATIONS:
NB: Original Copies of certificates shall be presented for sighting while duplicate copies shall be submitted on the day of interview.
SCHOOLS AND COLLEGES attended.
Schools/Colleges From Month/Year To Month/Year 

A value is required.

A value is required.Invalid format.

A value is required.Invalid format.

A value is required.

A value is required.Invalid format.

A value is required.Invalid format.

     
UNIVERSITIES AND OTHER TETIARY INSTITUTIONS attended
Universities/Institution From Month/Year To month/Year



CERTIFICATE OBTAINED
Certificate: Date: Grade

.






Period of National Youth Service Corps(NYSC) and place of primary assignment.

(Certificate of Discharge shall be verified on the day of Interview)
DETAILS OF EMPLOYMENT since leaving school:
(Periods of apprenticeship and trade should be indicated)
Name & full address of employer From Month/Year      To Month/Year 

Position held, Grade, Salary received

    
    
    
    

REASON FOR LEAVING PRESENT EMPLOYMENT
A value is required.

Have you any objection to reference being made to your present Employer Yes No

     
   




About Eccles
The Eccles group is a U.S based corporation with an operational headquarters in Nigeria -West Africa.
What we do
  • Turn-key agriculture projects, including integrated..
  • Development and manufacturing of agricultural chemicals,..
  • General marine industry involving the building of outboard
  • Servicing, Maintenance, repair and troubleshooting...
  • Drug and pharmaceutical, sales and manufacturing
Our Location in Africa
World Location


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