Candidate Registeration Form

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SOMEX INTERGLOBAL LIMITED

Center Code:
Central Address: Km 60/61 Zachariah Plaza, Lekki Epe Express way , Lagos State.
CENTRAL LINE: 09158524894, 07081046336
Central E-mail:Somex95@yahoo.com

DISCLAIMER: Somex Interglobal and its centers do not know the candidate nor his/ her guarantors and will not be held accountable for
them in any way. The information contained herein is to be verified by the employer. Somex Interglobal and its centers are not
responsible for verifying the authenticity and validity of the information contained in this document.
FORM NO:
Affix
passport size
CANDIDATE’S APPLICATION FORM
photograph
THIS FORM IS NOT FOR SALE here.

APPLICANT INFORMATION (PLEASE WRITE IN CAPITAL/UPPER CASE LETTERS)


Surname: Middle Name: Last Name:

E-mail: Mobile No: Phone:

Current address:

Nearest Bus Stop: City: State: Country:

□Own □Rent (Please tick) Monthly /Yearly cost(If rent): How long have you lived there?

Date of birth: Marital Status: Gender: Complexion:

Place of birth: State of origin: LGA:

Nationality: No of kids: Mother’s maiden name:

Languages spoken: Height:

Home town address:

City: State: Country:

Religion: Denomination:
About me [Not more than 100 words]:

Skills: Hobbies:
Username on Somex Interglobal: Verification code:
EDUCATIONAL HISTORY
Duration
Name of institution attended Qualification Discipline Award [Class]
From To

APPLYING FOR [BY PREFERENCE]


SN Job Title SN Job Title SN Job Title SN Job Title

EMPLOYMENT HISTORY

NOTE: If and when a lie or misinformation is detected on this form, every other information contained herein becomes

1
unreliable and effectively renders it useless. In your best interest, fill in the right information.

2
Current [Last]employer (Company/Employer’s name):

Employer address:

Position: Job Description:

From [Date of resumption]: To [Date of discharge]: Duration?

Phone: E-mail:

City: State: Country:

Position: □Hourly □Weekly □Salary (Please tick) Income (Salary):

Previous employer (Company/Employer’s name):

Employer address:

From [Date of resumption]: To [Date of discharge]: Duration?

Phone: E-mail:

City: State: Country:

Position: □Hourly □Weekly □Salary (Please tick) Income (Salary):


OTHER EMPLOYERS
Period
Institution Name Location Position Salary
From To

EMERGENCY CONTACT (A RELATIVE NOT RESIDING WITH YOU)


Name:

Address:

City: State: Country:

E-mail: Phone:

Relationship:
CONTACT OF YOUR SPIRITUAL LEADER (IF ANY)
Name of Pastor/Bishop/Imam/………….:

Address:

City: State: Country:

E-mail: Phone:

Address of place of meeting:


SPOUSE/NEXT OF KIN
Name:

Address:

City: State: Country:

Date of birth: Phone: Mobile:

E-mail: Your relationship with him/her:


EMPLOYMENT INFORMATION (OF SPOUSE/NEXT OF KIN)
Current employer [i.e. The name of the company]:

Employer address: How long?

Phone: E-mail:

City: State: Country:


Annual income:
Position: □Hourly □Weekly □Salary (Please tick)

REFEREES 3
Name Address Phone

CHILDREN (IF APPLICABLE)


Do you have kids? How many kids do you have?

First Child’s Name: Date of birth: Age:

Second Child’s Name: Date of birth: Age:

Third Child’s Name: Date of birth: Age:

Fourth Child’s Name: Date of birth: Age:

Fifth Child’s Name: Date of birth: Age:


BANK INFORMATION
Bank Name:

Account name: Account number:


REFERRAL
How did you hear about us? REFCODE:

AGREEMENT
I guarantee that the information I presented here in this form is correct and that I have read through all the conditions as stipulated in Somex
Interglobal’s online and print Terms of Service.
I authorize the verification of the information provided on this form as to my credit and employment.
I attest that the information contained in this is true, and portrays nothing but the truth.
I agree to pay completely the cost of verification which is five thousand naira by default.
I also agree that Somex Interglobal with its subsidiaries and or official representatives is entitled to the first month salary out of which Somex
Interglobal will deduct fourty percent [40%] of the gross salary and pay the rest to me. Somex Interglobal is also entitled to my complete
pay if I resign from my place of work without one month written notice in lieu of resignation.] I also authorize my employer to pay Somex Interglobal
my gross salary in the first month as duly agreed upon
SIGNATURE

Signature of applicant: Date:

Please remember to visit www.Somex Interglobal.com/jobs and sign up. Your e-mail and phone number must be on the website for you to benefit from
Somex Interglobal.Also read our online materials to get you ready for any interview and for any job. Somex Interglobal!.

FOR OFFICIAL USE ONLY


| Applicant Information □ | Education History □ | Employment History □ | Emergency Contact □
Candidate Check list: | Spiritual leader’s contact □ | Spouse/Next of kin contact □ | Referees □ | Bank Information □
| Passport photograph □ | Identity Card □ | Bank Information □

Primary Guarantor | Guarantor Information □ | Employment Information □ | Spouse/Next of kin contact □ | Bank Information □
Check list: | Guarantor letter □ | Passport photograph □ | Identity Card □

Additional Guarantor | Guarantor Information □ | Employment Information □ | Spouse/Next of kin contact □ | Bank Information □
Check list: | Guarantor letter □ | Passport photograph □ | Identity Card □

Verification Status: Verification Code:

4
Affix
passport size
SOMEX INTERGLOBAL LIMITED photograph
Center Code:
Central Address: Km 60/61 Zachariah Plaza, Lekki Epe Express way , Lagos State. here.
CENTRAL LINE: 09158524894, 07081046336
Central E-mail:Somex95@yahoo.com

DISCLAIMER: The information contained herein is to be verified by the employer. Somex Interglobal and its centers are not responsible
for verifyingthe authenticity and validity of the information contained in this document. |FORM NO: |

PRIMARY GUARANTOR FORM


THIS FORM IS NOT FOR SALE
1. Name: Surname: Middle Name:

2. Other names:
3. Biodata: Gender: Marital Status: Nationality:
Religion: Denomination:
Number of Children: Name of first child:
4. Contact: Phone: Email:
Residential Address:
Nearest Bus Stop: State of Origin:
Local Government Area:
5. Questions: Your relationship to the applicant:
How long have you known him/her:
6. Religious leader’s name
7. Address of meeting place:
8. Company/Business name:
9. Position:
10. Company Address:
11. Nearest Bus Stop:
12. Next of kin:
13. Address of next of kin:
IMPORTANT INFORMATION:
1. You are required to write in capital letter. Do not guarantee someone you don’t know very well.
2. You are to attach a photocopy of a recent utility bill not exceeding three months before the date of filing.
3. You are to attach a passport photograph and a handwritten guarantor letter with the heading (TO WHOM IT MAY CONCERN).
4. Ensure that all information contain in this form are not false. Giving false information is considered criminal.Also attach a photocopy of your
National ID card, Voter’s card, Driver’s Licence, International passport or any other current and valid Identity Card.

DECLARATION:
I Mr./Mrs./Miss ( ) whose passport and personal details
appear above, stand as Guarantor for Mr./Mrs./Miss ( )
of (Address) and promise to produce him/her when required to do so.
I agree to indemnify against any loss due to theft, unpaid loan, damage, etc made by him/her.
I certify that he/she is of good character to the best of my knowledge and guarantee that he/she will also be of good conduct during the course of
his/her employment. I also agree to give 2 (Two) months notice in writing to Somex Interglobal, its centers/agents and the employer anytime I want to
revoke thisguarantee and that this document remains binding until the expiry of the notice.
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[Please note that providing any false or wrong information is a crime. Do not guarantee someone you don’t know.]
SOMEX INTERGLOBAL LIMITED
Center Code:
Central Address: Km 60/61 Zachariah Plaza, Lekki Epe Express way , Lagos State.
CENTRAL LINE: 09158524894, 07081046336
Central E-mail:Somex95@yahoo.com

DISCLAIMER: The information contained herein is to be verified by the employer. Somex Interglobal and its centers are not responsible Affix
for verifying the authenticity and validity of the information contained in this document. |FORM NO: | passport size
ADDITIONAL GUARANTOR FORM photograph
THIS FORM IS NOT FOR SALE
IMPORTANT INFORMATION: here .
1. You are required to write in capital letter. Do not guarantee someone you don’t know very well.
2. You are to attach a photocopy of a recent utility bill not exceeding three months before the date of filing.
3. You are to attach a passport photograph and a handwritten guarantor letter with the heading (TO WHOM IT MAY CONCERN).
4. Ensure that all information contain in this form are not false. Giving false information is considered criminal.
5. Also attach a photocopy of your National ID card, Voter’s card, Driver’s Licence, International passport or any other current and valid Identity Card.

1. Name: Surname: Middle Name:

2. Other names:
3. Biodata: Gender: Marital Status: Nationality:
Religion: Denomination:
Number of Children: Name of first child:
4. Contact: Phone: Email:
Residential Address:
Nearest Bus Stop: State of Origin:
Local Government Area:
5. Questions: Your relationship to the applicant:
How long have you known him/her:
6. Religious leader’s name
7. Address of meeting place:
8. Company/Business name:
9. Position:
10. Company Address:
11. Nearest Bus Stop:
12. Next of kin:
13. Address of next of kin:

DECLARATION:
I Mr./Mrs./Miss ( ) whose passport and personal details
appear above, stand as Guarantor for Mr./Mrs./Miss ( )
of (Address) and promise to produce him/her when required to do so.
I agree to indemnify against any loss due to theft, unpaid loan, damage, etc made by him/her.
I certify that he/she is of good character to the best of my knowledge and guarantee that he/she will also be of good conduct during the course of
his/her employment. I also agree to give 2 (Two) months notice in writing to Somex Interglobal, its centers/agents and the employer anytime I want to
revoke thisguarantee and that this document remains binding until the expiry of the notice.

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