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CYBER CAFÉ OPERATORS ASSESMENT FORM

STATE :…………………………..

NAME OF CAFÉ:…………………………………………………………………………………………………………….…
ADDRESS:………………………………………………………………………………………………………………………
L.G.A……………………………………………… PHONE…………………….………………………………….
CAC REGISTRATION NUMBER:………………………………………………………………
NAME OF BUSINESS OWNER:……………………………………………………….…….…
HARDWARE ASSESMENT

Please FILL or TICK as applicable


i. Number of Functional Systems: Desktop
Laptop
Ipad
ii. Number of Finger Print scanner
iii. Type of Scanner

iv. Source of Power : National Grid


Solar
Generator

v. Availability of Document Scanner (Yes/No)


Others
vi. Do you have a functional Air Conditioner? (Yes/No) Fans (Yes/No)
vii. How many Tables and chairs? Table(s)
Chairs (s) Benches
viii. Number of Staff?
ix. Nature of Office Structure (Building, Cubicle,Umbrella)…………………………………………………
x. Suggestion:……………………………………………………………………………………………………
……………………………………………….……………………………………………………………………………

xi. Should Cyber Café be approved ? (Yes/No)


If No state reason(s)…………………………………………………………………………………………
………………………………………………………………………………………………………………….

SIGNED/DATE:……….………................................................................
NYSC OFFICER

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