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NATIONAL YOUTH SERVICE APPLICATION FORM

Please provide your BIO data and fill forms accurately as present in your school records.

PART 1

PART 2

PART 3

PART 4

PART 5

CURRENT EDUCATION STATUS: Step 1 - 5

Have you applied to the National Youth Service on a previous occasion?: Yes No

Are you currently pursuing further studies?: Yes No

Have you applied or do you intend to apply to any University/College for admission to pursue further studies during this one year of National Service?: Yes No

PERSONAL BIO DATA : Step 2 - 5

First Name: *

Middle Name: *

Last Name: *

Gender : Male Female

Date Of Birth:

PLACE OF BIRTH:

MARITAL STATUS : SINGLE MARRIED DIVORCED

Phone: *

Email: *

PARENT/GUARDIAN DATA: Step 3 - 6

MOTHER'S NAME: *

MOTHER'S PLACE OF BIRTH:

FATHER'S NAME: *

FATHER'S PLACE OF BIRTH:

IN CASE OF EMERGENCY

EDUCATION: Step 4 - 5

SECONDARY SCHOOL DATA 1

SECONDARY SCHOOL DATA 2

COLLEGE/UNIVERSITY DATA

INTEREST IN NATIONAL YOUTH SERVICE: Step 5 - 5

BRIEFLY EXPLAIN YOUR INTEREST IN THE NATIONAL YOUTH SERVICE

COMMUNITY DEVELOPMENT SERVICE INTEREST (Suggest, indicate or describe a possible community development service you might want to leave as a legacy project during your primary assignment)

REQUIRED FILE UPLOADS

BIRTH CERTIFICATE (File type:jpeg,png. Max size 4mb)

PASSPORT PICTURE (File type:jpeg,png. Max size 4mb)

DEGREE CERTIFICATE (File type:jpeg,png. Max size 4mb)

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CONTACT INFO

Address: 6 College Road, Leicester
Phone: +232 76606545
E-mail: youthservice@nys.gov.sl

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