CNES PGC Application Form

CNES PGC Application Form
UNIVERSITY OF PORT HARCOURT
CENTRE FOR NUCLEAR ENERGY STUDIES
East West Road, Choba.PMB 5323, Port Harcourt, NIGERIA
METHOD OF APPLICATION
(a) Pay a non-refundable application fee of N15000.00 (Fifteen Thousand naira only) into CNES ECOBank A/C No. 0522003580.
(b) Scan the evidence of payment. Also have ready in jpg format (Handwritten letter stating your reasons for applying; Passport size photograph) and in pdf format (ONE PAGE ONLY for Curriculum Vitae; WAEC/SSCE result; Degree/Diploma results).
(c) Please call 08033362134 or send email to cnesuniport@gmail.com or uyique@yahoo.com, if you have any question.

CLOSING DATE
The sale of Forms will close on Monday, 21st May, 2018
The information requested is treated as confidential. Only the information contained on page 2 to 4 will be computerized for admissions Committee purposes. The information is kept until the start of the academic year. The application form and the accompanying documents remain the property of the Centre.
1. Name*

First NameMiddle NameSurname
2. DATE OF BIRTH*

MonthDayYear
Date
3. PLACE OF BIRTH*
4. COUNTRY OF BIRTH*
5. NATIONALITY*
6. SEX*
7. MARITAL STATUS*
8. No. of Children*
9. Ages of Children*
10. NATIONAL YOUTH SERVICE/MILITARY*
11. PERMANENT HOME ADDRESS*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number*

Area CodePhone Number
Email address*
example@example.com
12. SPONSORSHIP?*
Please give details

20. INTEREST AND MOTIVATION:
What professional, cultural, sports and community activities do you participate in and what other interest do you have?*
Have you held a position of responsibility? Under what circumstances?*
What type of career are you aiming at?*
What future do you envisage of the nuclear industry?*
If your application is not successful, what other plans would you have?*
21. NAMES AND ADDRESSES OF TWO REFEREES
Referee 1 (Full Name, Position, Address, Email and Telephone number) *
Referee 2 (Full Name, Position, Address, Email and Telephone number) *
Please ask your Referees to send their letters of reference directly to the Director, Centre for Nuclear Energy Studies (CNES), University of Port Harcourt, Port Harcourt, Rivers State, Nigeria

Please upload the following documents
Scanned Bank Teller for the application fee payment in jpg format*

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Scanned handwritten letter stating your reasons for applying in jpg format*

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Passport size photograph in jpg format*

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Curriculum Vitae of ONE PAGE ONLY in pdf format*

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WAEC/SSCE result in pdf format*

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Degree/Diploma result in pdf format*

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By clicking the Submit button, I certify that to the best of my knowledge, the facts stated on this form are correct.
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