Reference And Employment History

Surname: _UMERAH___________ First Name_BENITA CHINENYE_________________________
Phone Number: ___07035009680__________________________________________
Email: [e-mail]_____ Signature: _________________________
REFEREES
List three 3 persons who are familiar with your character and qualifications. Please note: Do not use your family members as referees.
S/No.
Referee Type
Name
Relationship
Contact details – Tel. no, Email and Address
1.
School (Head of Department)
Ms. KOSI EZEKEGBU
PRINCIPAL;
ANAMBRA STATE SCHOOL OF NURSING, NKPOR
08038759268

2.
Previous Employer (Head, Human Resources )
MRS. IRENE ANYAENE
HOD NURSING;
GARKI HOSPITAL, ABUJA
08033143317

3.
Other
REVD, OVIE EZIMERUWE
CHAPLAIN;
ST. JAMES ANGLICAN CHURCH ASOKORO, ABUJA
08026988206

RELATIONSHIPS IN CENTRAL BANK OF NIGERIA
Do you have any relatives (spouse, father, mother, brother, sister, uncle, aunt and cousin) currently employed by CBN?
YES NO If yes, give name/ relationship:
Name
Relationship

EDUCATIONAL QUALIFICATION
Name of Institution
ANAMBRA STATE SCHOOL OF MIDWIFERY , NKPOR
Program of Study (PhD, Master’s Degree, 1st Degree, HND, ND, SSCE)
HND
Qualification/Award :
REGISTERED MIDWIFE
Class of Degree/Grade:
MIDWIFERY
Year of Completion: 2007
2.
Name of Institution
ANAMBRA STATE SCHOOL OF NURSING, NKPOR
Program of Study (PhD, Master’s Degree, 1st Degree, HND, ND, SSCE)
HND
Qualification/Award :
REGISTERED NURSE
Class of Degree/Grade:
NURSING
Year of Completion: 2012
3.
Name of Institution

Program of Study (PhD, Master’s Degree, 1st Degree, HND, ND, SSCE)

Qualification/Award:
Class of Degree/Grade:
Year of Completion:

PROFESSIONAL QUALIFICATIONS
1.
Professional Body

Award :
Year of Completion:

2.
Professional Body

Award :
Year of Completion:
* Any additional qualification (educational & professional) should be written on a separate sheet using the format above.
HAVE YOU EVER BEEN CONVICTED OF CRIME? YES NO
This includes being fined or