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BENUE STATE UNIVERSAL BASIC
EDUCATION BOARD (SUBEB)
APPLICATION SLIP, 2024
PROFILE
APPLICATION NUMBER: 202423018
FULL NAME: ADOGAH SAMUEL
SEX: Male
LGA: Oju
DATE OF BIRTH: 1988-05-08
DISTRICT: UKPA AINU-ETE
KINDRED: OYIWE
QUALIFICATION: BSC (ED)
NIN: 90201634878
CBT PIN: 6131
SIGNATURES
REFEREE 1 REFEREE 2
ADOGAH SAMUEL
NAME:____________________ NAME:____________________
SIGN:____________________ G/LEVEL:_________________ G/LEVEL:_________________
MDA:____________________ MDA:____________________
DATE:____________________
SIGN:____________________ SIGN:____________________
A Referee must be a a Civil Servant of Grade Level 14 and Above in Benue State Civil Service
Print this application slip, append all the required signatures, attach photocopies of your credential
and other supporting documents and come along with it to the CBT hall when you are invited for
Screening Test!
The following Documents are to be attached:
1. All Academic Certificates.
2. State of Origin
3. NYSC Discharge Certificate or Exemption Certificate (If applicable)
4. Birth Certificate or Declaration of Age (Not Earlier than Six Months)
5. National Identity Card
6. Any other relevant Document
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