STATE OF ORIGIN / LOCAL GOVERMENT

ATTESTATION FORM
(APPLICATION FOR ADMISSION INTO THE 76th REGULAR
COURSE)
Nigerian Defence Academy Kaduna

JAMB Reg. Nuumber: 202440260912GA

Candidate's Name: Abdulazim Lawal
Residential Address: No 2 Palm Avenue Mando Kaduna
State of Origin: Oyo
Faculty: Faculty of Arts and Social Sciences
Course of Study: BSc Geography
Date of Birth: 05-03-2005
Choice of Service: NIGERIAN AIRFORCE/NIGERIAN NAVY

ATTESTATION OF LOCAL GOVERNMENT AREA OF ORIGIN

To be completed by Chairman or Secretary of the Local Government Area of your State or

any military officer of the rank of Lieutenant Colonel (or equivalent) and above who hails
from your state. Parent/Guardians will not sign for their sons/daughters/wards but must
ensure that this form is completed.

Rank/Position (of Endorsing officer)___________________________________

Service No:_________________ LGA:_____________________________
I certify that _________________________________________ hails from _________________________Local
Government Area of_____________ State.
Name:_____________________________ Signature/Stamp_______________
Date:_______________________