22-Feb-2012
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JOB PLACEMENT APPLICATION FORM

Please read our Terms and Conditions, before completion of this form, so that we can forward your name for placement without delay.
Our personal account representative will contact you within 24 hours (Monday – Friday).
If you have any questions, please contact our Client Service Department.
Please note that all fields marked * are Required!
PERSONAL INFORMATION
*Title (Mr, Mrs, Miss)
*First Name
*Middle Name
*Last Name
*Date of Birth
*Marital Status
Married
Single
*Residential Address
 
*Postal Address (Optional)
 
*Email address:
*Mobile Phone Number
*Academic Qualifications:
 
 
 
 
*Type of Appointment being sought: (Tick the box where applicable)
Principal Doctor
Vice Principal Nurse
Head Teacher Midwife
Class Teacher Laboratory Technician
Part-Time Teacher Accountant
Subject Teacher Secretary
Lesson Teacher Office Assistant
Classroom Assistant Receptionist
Cleaner Others(please indicate below)
*Any other appointment not indicated above
*Indicate Subject (Subject Teacher only)
*Area specification / Location (You are required to make a maximum of 3 area choices from the following under listed areas)
MOKOLA – BODIJA AXIS ODO ONA – APATA DUGBE – ONIREKE AXIS UI – OJOO AXIS 
AGODI GATE – IWO ROAD ASHI – BASHORUN AXIS  RING ROAD – CHALLENGE OTHERS (PLEASE INDICATE
*Other areas not listed above
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above by TruPurpose Consultancy Services Ltd. and its affiliates.

*Accept

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