STAFF DATABASE FORM - A Step 1/3: STAFF INFORMATION Leave this field blank TITLE Please Choose One Mr. Mrs. Miss. Dr. Prof. Chief. Chief (Dr.) Dr. (Mrs.) Dr. (Miss.) Prof. (Mrs.) Prof. (Miss.) Barr. Barr. (Mrs.) Engr. Engr. (Mrs.) Engr. (Miss.) Rt. Col. Arch. Rev. Rev. Fr. Very. Rev. Rev. Sr. Lt. Col. (Rtd.) Other SURNAME FIRST NAME OTHER NAMES (optional) JUNIOR OR SENIOR STAFF JUNIOR STAFF SENIOR STAFF STAFF FILE NUMBER DEPARTMENT AND UNITS SELETE YOUR DEPARTMENT/ UNIT ACADEMIC PLANNING ADULT AND NON FORMAL EDUCATION AGRICULTURE AUDIT BIOLOGY BOOKSHOP BURSARY BUSINESS EDUCATION CENTRAL REGISTRY CENTRE FOR ENTREPRENEURSHIP DEVELOPMENT CHEMISTRY CHRISTIAN RELIGIOUS STUDIES COLLEGE LIBRARY COMPUTER CONSULTANCY CONTINUING EDUCATION CURRICULUM DEANS OFFICE - SASS DEANS OFFICE - SOE DEANS OFFICE - SOL DEANS OFFICE - SOS DEANS OFFICE - SOVTE DEGREE UNIT DEPUTY PROVOST DNPS ECONOMICS EDUCATIONAL PSYCHOLOGY EFAD ENGLISH EXAMS FINE AND APPLIED ART FRENCH GENERAL STUDIES EDUCATION (GSE) HAUSA HISTORY HOME ECONOMICS ICT IGBO INTEGRATED SCIENCE LEGAL UNIT MATHEMATICS MEDICAL CENTRE MUSIC NCE ADMISSION UNIT PDE PENSION AND GRATUITY PERSONNEL PHYSICAL AND HEALTH EDUCATION PHYSICS POLITICAL SCIENCE PRIMARY EDUCATION & EARLY CHILDHOOD PROCUREMENT PROVOST OFFICE PUBLIC RELATIONS OFFICE (PRO) PHYSICAL PLANNING AND INFRASTRUCTURAL DEVELOPMENT (PPID) QUALITY ASSURANCE RECORDS SANDWICH SERVICOM SOCIAL STUDIES SPECIAL NEEDS STEP-B STUDENTS AFFAIRS TEACHERS REGISTRATION COUNCIL OF NIGERIA (TRCN) TETFUND WORKS YORUBA OTHERS TYPE HERE (optional) PHONE NUMBER TEACHING OR NON TEACHING STAFF? TEACHING STAFF NON TEACHING STAFF DESIGNATION DATE OF FIRST APPOINTMENT Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 GENDER MALE FEMALE DATE OF BIRTH Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 EMAIL ADDRESS INSTITUTIONAL EMAIL ADDRESS RESIDENTIAL ADDRESS BLOOD GROUP BLOOD GROUP A-positive (A+) A-negative (A-) B-positive (B+) B-negative (B-) AB-positive (AB+) AB-negative (AB-) O-positive (O+) O-negative (O-) STATE OF ORIGIN YOUR L.G.A NEXT OF KIN TITLE Please Choose One Mr. Mrs. Miss. Dr. Prof. Chief. Chief (Dr.) Dr. (Mrs.) Dr. (Miss.) Prof. (Mrs.) Prof. (Miss.) Barr. Barr. (Mrs.) Engr. Engr. (Mrs.) Engr. (Miss.) Rt. Col. Arch. Rev. Rev. Fr. Very. Rev. Rev. Sr. Lt. Col. (Rtd.) Other NEXT OF KIN NAMES NEXT OF KIN ADDRESS RELATIONSHIP PASSPORT PHOTO Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. SIGNATURE Use the mouse to sign you signature here. If you are using an Android Phone, use your finger to draw your signature here Click to Sign Clear Done IS YOUR SIGNATURE OKAY? IF “YES” PROCEED TO SUBMIT, but IF NOT, click on this line to TRY AGAIN Continue
