belemaoil.com · Web viewNNPC/BELEMAOIL JV 2018/2019 SCHOLARSHIP APPLICATION FORM POST GRADUATE NNPC/BELEMAOIL JV 2018/2019 SCHOLARSHIP APPLICATION FORM POST GRADUATE

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NNPC/BELEMAOIL JV 2018/2019 SCHOLARSHIP APPLICATION FORMPOST GRADUATE

Please ensure forms are filled in capital “(a)” letter boldly and all required documents are duly attached.Ref N0: BPL/ED/18/PG/001

APPLICANT INFORMATION:

NAME:SURNAME FIRST NAME MIDDLE NAME

SEX: Date of Birth:

PHONE: EMAIL:

STATE: LGA: COMMUNITY:

ADDRESS:

EDUCATION INFORMATION:

CURRENT INSTITUTION :

YEAR OF ENTRY: PROJECTED GRADUATION DATE:

COURSE:

MODE OF ADMISSION: DURATION OF PROGRAMME:

PREVIOUS INSTITUTION:

COURSE:

YEAR OF ADMISSION: CGPA: GRADUATION YEAR

ACCOUNT DETAILS:

BANK NAME: ACCOUNT NUMBER:

ACCOUNT NAME:

SORT CODE:

Are you related to any Belemaoil Producing Ltd Staff (Yes/No)?

If yes, State the name of the staff and nature of relationship:

Community Representative:(CDC INTERFACE CHAIRMAN) NAME SIGNATURE/DATE

STUDENT SIGNATURE:

2 recent passport photograph

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ASSEMBLE AND ATTACH TO THIS APPLICATION THE FOLLOWING DOCUMENTS:

1. Scholarship Application Form (Properly Filled with Passport Photograph at the top)2. University Post-Graduate Admission Letter3. Previous University Certificate/Statement of Result4. Transcript (where applicable)5. O’ Level Result6. Local Government Identification Letter7. Letter of Identification (Signed by either Traditional Ruler, or Community Representative (CDC

Chairman)

NOTE: Belemaoil does not demand any form of payment from applicants. The application is entirely free of charge. Application must be submitted through the CDC Interface Committee of each community.

FOR OFFICIAL USE ONLY:

Applicants Form Reviewed

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Reason for Non-Approval:

Name & Signature of Reviewing Officer

Mangers Signature

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Are you related to any Belemaoil Producing Ltd Staff (Yes/No)



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Chairman)




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