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.

Name

This field is for validation purposes and should be left unchanged.

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