SECTION A (TO BE FILL BY EMPLOYER) Name of Employer * Employer's Phone Number * Employer's Address * Name of Staff to be verified * SECTION B( TO BE FILL BY STAFF) Name * First Middle Last Home Address * City * Phone Number * Alternate Phone Number Age * Means of ID * International Passport Driver's License BVN NIN Voter's Card Marital Status * Single Married Spouse Name Do you have children * YES NO Spouse's Employer Spouse's Work Phone Email Address * Emergency Contact Information * First Middle Last Emergency Contact Address * First Last Emergency Contact Phone Number * Relationship with emergency contact * Image Upload Select Image
