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REGISTRATION FORM FOR EXPERT RESOURCE PERSONS
Title
Engr
Dr
Prof
Mal
Mr
Miss
Surname
Other Names
State of Origin
Abia
Adamawa
Akwa-Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross-Rivers
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Abuja FCT
Nationality
Date of Birth
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
January
Feburary
March
April
May
June
July
August
September
October
November
December
/
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Sex
Male
Female
Contact Address
Phone No/Fax
Email Address
Institutions
Qualifications with Date
Academic Qualification
Profession
Select
Agricultural Engineering
Agricultural Extension and Management
Agriculture (General Agriculture)
Animal Health
Animal Production
Aircraft Engineering
Accountancy
Architectural Technology
Art and Industrial Design
Aviation Technology
Business Administration and Management
Bilingual Secretarial Studies
Boat and Ship Building Engineering
Building Technology
Banking and Finance
Crop Production
Co-operative Studies
Chemical Engineering
Civil Engineering
Computer Engineering
Computer Multimedia
Computer Hardware Engineering
Community Health
Dental Technology
Dental Therapy
Electrical/Electronic Engineering
Environmental Health
Estate Management
Fisheries Technology
Forestry Technology
Fashion Design and Clothing Technology
Foundry Technology
Geological Engineering
Horticulture & Landscape
Human Resources Management
Health Information Management
Insurance
Industrial Maintenance Engineering
Industrial Safety and Environmental Engineering
Local Government
Laundry Technology
Maritime Transport and Business
Marketing
Music Technology
Marine Engineering
Mechanical Engineering
Mechatronics
Metallurgy
Mineral Resources Engineering
Nuclear Technology
Network Security/Administration
Orthopaedic Technology
Occupational Therapy
Pest Management
Printing Technology
Physiotherapy
Petroleum Marketing & Business
Production and Operations Management
Public Administration
Purchasing and Supply
Petroleum and Gas Processing Engineering
Quantity Surveying
Radiography
Soil Science
Software Engineering
Secretarial Studies
Social Development
Surveying & Geo-informatics
Urban and Regional Planning
Welding and Fabrication Engineering
Wild Life Management
Wood and Paper
Others
Area of Specialization
Present Position
Professional Registration/
Certification
Working Experience