Meddix Form – famloft.com

Delivery Agent Biodata Form — Meddix Global Solutions Ltd.

Personal Information

Full Name *

Phone Number *

Email Address *

Full Residential Address *

State of Residence *

Local Government Area (LGA) *

Date of Birth *

Gender *

Male Female

Identification

National Identification Number (NIN) *

Your NIN will be verified before approval.

Upload a Valid Government-Issued ID (Optional)

Accepted IDs: National ID Card · Driver's License · Voter's Card · International Passport

Image or PDF, maximum 2MB.

Upload a Recent Passport Photograph *

Clear, recent photo. Maximum 2MB.

Social Media

Facebook Profile Link *

Job Information

Position Applied For *

State You Will Be Covering *

Educational Background

Highest Qualification *

Institution Attended *

Year of Graduation *

Previous Work Experience

Have you previously worked as a Delivery Agent? *

Yes No

Provide the details of one (1) Merchant/Vendor you have worked with.

Company Name (Optional)

Merchant/Vendor Name *

Your Role *

Examples: Delivery Agent · CEO · Customer Care Representative · Operations Manager · Logistics Officer · Supervisor · Other

Contact Person

Phone Number

State Covered

Duration Worked

Guarantor 1

Full Name *

Phone Number *

Residential Address *

Upload a Recent Picture of Your Guarantor *

Maximum 2MB.

Guarantor 2

Full Name *

Phone Number *

Residential Address *

Upload a Recent Picture of Your Guarantor *

Maximum 2MB.

Declaration

I hereby declare that the information provided in this application is true and correct to the best of my knowledge.

I understand that Meddix Global Solutions Ltd. reserves the right to verify all information submitted, including my NIN, guarantors, employment history, and supporting documents.

I understand that providing false or misleading information may result in the rejection of my application or termination of my engagement.

Upload Your Signature *

A clear photo or scan of your signature. Maximum 2MB.

Full Name *

Date *

Fields marked * are compulsory. Please review your answers before submitting.