POLICE SERVICE COMMISSION FEDERAL SECRETARIAT COMPLEX, PHASE 1, SHEHU SHAGARI WAY, P.M.B. 5188, ABUJA, NIGERIA. PRINT FOUR (4) COPIES OF THIS FORM, FILL APPROPRIATELY, HAVE THEM FULLY SIGNED, ATTACH ALL RELEVANT CREDENTIALS & SUBMIT TO THE POLICE STATE COMMAND HEADQUARTERS OF YOUR STATE. NIGERIA POLICE FORCE GENERAL DUTY CADETS ASP AND INSPECTOR FORM

THIS FORM IS NOT TO BE SOLD

AFFIX PASSPORT

PHOTOGRAPH

1. PERSONAL DETAILS

Surname:......................................... Other Names:.........................................................................

State of Origin:................................. L.G.A.:....................................................................................

Home Town:..................................... Date of Birth:..........................................................................

YYYY MM DD

Mobile Phone:.................................. E-mail Address:......................................................................

Contact Address:...............................................................................................................................

..........................................................................................................................................................

Permanent Home Address:................................................................................................................

..........................................................................................................................................................

Name and Address of Parents:..........................................................................................................

..........................................................................................................................................................

Height:............................................. Chest Measurement:..............................................................

(Males Only)

2. INSTITUTIONS ATTENDED

Primary School:................................................................................................................................

Address:...........................................................................................................................................

City:.................................................. State:.....................................................................................

Date:................................................................................................................................................

Specify the year: From YYYY To YYYY.

Secondary School:...........................................................................................................................

Address:...........................................................................................................................................

City:.................................................. State:.....................................................................................

Date:................................................................................................................................................

Specify the year: From YYYY To YYYY.

Tertiary Institution:............................................................................................................................

Address:...........................................................................................................................................

City:.................................................. State:.....................................................................................

Date:.................................................................................................................................................

Specify the year: From YYYY To YYYY.

3. HIGHEST EDUCATIONAL QUALIFICATIONS

(Please tick as appropriate)

I B.Sc./B.A./B.Ed./B.Eng. or Equivalent

ii HND or Equivalent

iii NCE or Equivalent

iv ND or Equivalent

TICK POSITION APPLIED FOR: ASP INSPECTOR

4. CHARACTER CERTIFICATION (2 REFEREES)

Title:.................................................................................................................................................

First Name:.................................................. Last Name:................................................................

Mobile Phone:............................................. E-Mail........................................................................

Contact Address:.............................................................................................................................

.........................................................................................................................................................

Comment:........................................................................................................................................

.........................................................................................................................................................

Date:............................................ Signature:....................................................................................

(To be signed by a Magistrate/Police Officer not below the rank of CSP/Military Officer not below the rank of Lt. Col.)

REFEREE A: