Application Form for Niglpgas.com/Brookgate Energy CNG Auto Gas Training

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  • Author: Muyiwa Ige(LPG Stakeholder and Consultant)

Application Form for Niglpgas.com CNG Auto Conversion Training

Application Fee: ?10,000

1. Personal Information:

  • Full Name:
    • (First Name, Middle Name, Last Name)
  • Date of Birth:
    • (DD/MM/YYYY)
  • Gender:
    • Male
    • Female
    • Other
  • Contact Number:
  • Email Address:
  • Residential Address:
    • (Street, City, State, ZIP Code)

2. Educational Background:

  • Highest Qualification:
    • (Please specify degree, diploma, or certification)
  • Field of Study:
  • Name of Institution:
  • Year of Graduation:

3. Professional Experience:

  • Do you have any experience in automobile maintenance or mechanical work?
    • Yes
    • No

If yes, please provide details:

    • Company Name:
    • Job Title:
    • Years of Experience:
    • Description of Work:

4. Training Program Details:

  • Preferred Training Date:
    • Weekdays
    • Weekends
  • Do you have any prior knowledge about CNG conversion systems?
    • Yes
    • No

If yes, please briefly explain your knowledge:

5. Reason for Applying:

  • Please explain why you are interested in the CNG Auto Gas Conversion Training and how you plan to use the knowledge gained from this training:

6. Emergency Contact Information:

  • Name of Emergency Contact:
  • Relationship to Applicant:
  • Contact Number:
  • Address:

7. Terms and Conditions:

  • I hereby declare that the information provided in this application form is accurate to the best of my knowledge. I understand that any falsification may result in the rejection of my application or termination from the program.
  • I agree to the terms and conditions.

Signature:

Date:

For Official Use Only:

  • Application Received On:
  • Application Status:
  • Remarks:

Please send the completed application form and the proof of payment to avogadrolpgas@gmail.com