VCMSHT Staff Information Update

Please note that fields marked with asterisks are compulsory.
You can only apply once (no duplicate entry)
Personal Information Section
Surname*
First Name*
Middle Name
Gender*
State of Origin*
Local Government of Origin*
Date of Birth*
Email*
Phone*
Passport Photograph*
Please upload a Passport Photograph not more than 1MB in file size.
Max. file size: 1 MB.
Government Issued ID
Please upload a government-issued ID such as National ID Card/Voters Card/Passport/Driver's Licence/ETC. You can skip this step if you do not have one.
Max. file size: 1 MB.
Next-of-Kin Information Section
Full Name*
Phone*
Full Contact Address*
Relationship With You*
Please choose an option
Physical Contact Information Section
Your Street Address*
City*
State*
Country*
Academic Information Section
Tertiary Institutions Attended & Certificates Obtained*
*Please list one or more relevant tertiary institutions attended against the earned certitficate.
*To add more field, press/click the "Circled Plus Icon".
*Please avoid abbreviation institutions/certifications names
Name of Institution Certificate/Degree Obtained
VCMSHT Work Information Section
Mode of Work*
Department*
Year & Month of Entry into Your VCMSHT Employment*
Information Validity Confirmation
Validity*
- I confirm that the information entered in this form is true to the best of my knowledge.
Comments
This field is for validation purposes and should be left unchanged.

Name of Institution	Certificate/Degree Obtained

Personal Information Section