Staff Housing Form

UNIVERSITY OF NIGERIA, NSUKKA

SENIOR STAFF HOUSING COMMITTEE

COMPUTER DATA INPUT FORM, (NSUKKA CAMPUS)

Upload* Passport

First Name(Required)

Middle Name

Surname(Required)

Staff File Number(Required)

Sex
 Male Female

Date Of Birth(Required)

Nationality

Country(Required)

Marital Status
 Married Single

Name of Spouse(Required)

State of Origin(Required)

L.G.A(Required)

TOWN(Required)

Rank(Required)

Phone Number

Department/Unit(Required)

Email Address

Name Of Next-Of-Kin

Next-Of-Kin Address

Next-Of-Kin Phone Number

Signature of Staff ______________________________ Date: __________________________________

Signature & Stamp of Head of Department/Unit ________________________ Date _________________

Certification by the Deputy Registrar, Personnel Services Unit ________________________________

For Official Use only

Total Score: ______________________________________________________________________

Signature of Chairman, Senior Staff Housing Committee __________________ Date ______________

Print

 

UNIVERSITY OF NIGERIA, NSUKKA

SENIOR STAFF HOUSING COMMITTEE

 

COMPUTER DATA INPUT FORM, (NSUKKA CAMPUS)