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Please complete this accurately, giving as many details as possible of your skil ls and experience relating to this job

application. Short listing will be based on the information gathered fr om the form, read in conjunction with the person specification. Employment with the Express Oil and Gas Limited is governed on the basis of meri t, competence and qualifications and will not be influenced in any manner by race, age, colour, sex, religion, sexual orientation , veteran status, national origin, marital status, mental or physical disability or any other legally protected status. Those applicants r equiring reasonable accommodation to the application/interview process should notify the Human Resource Manager at +234 ( 0)806-566-1586. Please ensure the finished form is printed out, signed, dated and returned with 3 to 5 working days from now via email to career@expressoilandgas.com. We are unable to accept forms retu rned as email attachments without a signature. Please either type directly in this form using Microsoft Word or print out and c omplete the form in blue or black ink and BLOCK CAPITALS. GUIDELINES Applicants will be treated in the same way whether they are external or internal candidates. Internal candidates should advise their manager that they have applied for another positi on. POSITION APPLYING FOR: Job title: Department/Region: Where did you see this post advertised? Have you applied for a job with our company before? Yes*/No: 1. APPLICANT S DETAILS Title: Surname: Other names: Sex: Date of Birth: Marital Status: Passport Number: Nationality: Home address: Current Address: Telephone nos: please include full STD code Home: Work : Mobile (where possible): email address (where possible): JOB APPLICATION FORM

Do you hold a current driving licence? Yes/No: Is there anything concerning your medical history or state of health that is relevant to your application? Yes*/No: *If Yes please indicate here: Are there any restrictions regarding your employment? e.g Are you willing work abroad? Yes*/No: How much notice do you need to give to your current employer? 2. EMPLOYMENT RECORD Please start with your most recent employment. Briefly describe the main duties and responsibilities of your post. If you wish to expand on specific areas of responsibility, please do so in Section 5: Interview questions 1. Current/most recent employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: 2. Employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: What is your total years of working experience? May we contact your present employer? Yes . No . Did you complete this application yourself? Yes . No . If not, who did? Are you currently working? Yes . No . If yes, What is your current monthly salary in USD? $ What is your expected monthly salary in USD if we happens to employ you? $ 3. EDUCATION Please tell us about your education and any qualifications which you feel are re levant to the post. Include relevant courses which you are currently undertaking. Please start with the most recent. Name of school/college/ university/training body Subject studied Qualification/ Level Date gained

4. TRAINING Please list any training you have received or courses which did not lead to a qu alification but which you feel are relevant to the advertised post starting from most recent. Training Course Date 5. INTERVIEW QUESTIONS This section is for you to give specific information in support of your applicat ion. Do you have any experience in the oil and gas Industry? Yes . No . Why should we employ you? What are your strengths and weaknesses? Where do you see yourself in five years time? Why are you the best person for the job? Expatiate on your job responsibilites here as listed in section 2: 6. REFERENCE Please give name, address and position/occupation of your most relevant referee. References will only be taken up for the successful candidate. 1. Name: Position: Organisation: Address: Tel:

7. CRIMINAL CONVICTIONS Do you have any criminal convictions? Yes . No . If Yes please give details here: 8. DECLARATION AND SIGNATURE The I declare that I am qualified to perform all the duties of the position I am seeking. I also declare that the information I have provided on this application is correct and that any false st atements or omissions will justify my rejection or dismissal. I authorize the company to contact my reference source t o verify the facts and information I have furnished regarding information provided on this application, on my resume, or during my interview. I authorize any person(s) having knowledge to provide such information to the company, and r elease from liability and agree to hold harmless any person that furnishes such information in good faith, as allow ed by applicable state and federal laws. I will agree to a drug test, if permitted by law, to be paid for by the co mpany. Should I become involved in a claim for worker s compensation or any other litigation after employment by the co mpany; I will allow the company to supply my employment records (as allowed by applicable state and federal laws) t o an opposing party. If employed by the company, I understand that I will be an employee at will and that my empl oyment with Express Oil and Gas Limited may be terminated at anytime by myself or by Express Oil and Gas Limited for any reason whatsoever. Should I become employed by Express Oil and Gas Limited, I also authorize Expres s Oil and Gas Limited to conduct any additional background checks should they become necessary at any poi nt during my employment. I also understand that the terms of my employment shall be based on all provisions described in Express Oil and Gas Limited, which may be periodically amended. Finally, I understand that this is o nly an application for employment and neither an offer of or a contract of employment and no part of this applicat ion shall be construed as an offer of employment or an employment contract. The Agreement to Arbitrate accompanying th is application must be read and signed in order for you to be considered for employment with Express Oil and Gas Limited. By signing this Agreement to Arbitrate I understand that the employment at will relationship wil l not be altered.information supplied in this application form is accurate to the best of my knowledge. ................................................................................ ............................................................. .................. ........................................ Signed Date FOR OFFICE USE ONLY DO NOT WRITE IN THIS SPACE Arrange Interview: . Yes . No Interview Date: ____/ ____/ ______ Time: Interviewed By:____________________________ Position Interviewed For: __________ _____________ Hired: . Yes . No Start Date: ____/ ____/ ______ Pay Rate/Salary: $_____________ __________ Job Title:___________________________ Department: ______________________________ __ Job Classification: . Full Time Exempt . Full Time Non-Exempt . Part Time Grade #1 . Part-Time . Union - Full Time . Union - Seasonal Pre-Employment Screening Scheduled: . Yes . No Date: Time:

Hired By:_______________________________ Date:____________________________

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