1    NAME   

2    SEX      

3    DATE OF BIRTH   

4    MARITAL STATUS   

5    NATIVE TOWN OR VILLAGE/LOCAL GOVERNMENT AREA   

6    STATE OF ORIGIN/NATIONALITY   

7    NATIONAL YOUTH CORPS SERVICE (State year and place of primary assignment)

        (A) Year of primary assignment    

        (B) Place of primary assignment

8    PRESENT EMPLOYER   

9    DATE OF FIRST APPOINTMENT   

10    PRESENT APPOINTMENT   

11    QUALIFICATION/INSTITUTION/YEAR

                (A)  PRIMARY   

                (B)  SECONDARY   

                (C)  TERTIARY   

                (D)  POST GRADUATE   

                (E)  POST DOCTORAL   

12    PUBLICATIONS

                (A)  BOOKS (List books published)

                (B)  JOURNAL ARTICLES (List articles in peer reviewed journals)

                (C) MONOGRAPHS/REPORTS

                        (List published monographs and reports including thesis projects)

13    COURSE(S) TAUGHT IN THE LAST 10 YEARS (List courses taught and years)

14    POSTGRADUATE SUPERVISION IN THE LAST 10 YEARS

                ( List titles of thesis, place and year of supervision)

15    OUTSTANDING CONTRIBUTIONS/INVENTIONS

16    MEMBERSHIP OF PROFESSIONAL BODIES

                 (List professional bodies with current membership)

17. AWARDS (List outstanding awards for excellence)

18. INTERNAL AND EXTERNAL APPOINTMENTS HELD

                 (Give nature of appointment, place and year)

19. DEPARTMENTAL ADDRESS

20. E-MAIL ADDRESS/TELEPHONE NUMBER