Prexea Technology Limited

Field Agents Application Form

Thank you for your interest in becoming a Field Agent with Prexea Technology Limited. Please complete this application carefully and ensure that every piece of information provided is accurate. Applications with incomplete or false information may not be considered.

1

Personal & Contact

Sections 1–3

2

Background

Sections 4–7

3

References & Equipment

Sections 8–11

4

Documents & Declaration

Sections 12–14

Step 1 of 4

Personal & Contact

Sections 1–3

Section 1 — Personal Information

Full Name*

Date of Birth*

Gender*

Nationality*

National Identification Number (NIN)

Section 2 — Contact Information

Phone Number*

WhatsApp Number

Email Address*

Postal Code

Residential Address*

State of Residence*

Local Government Area

Town / Community*

Section 3 — Preferred Work Location

State(s) Willing to Work

AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFCT (Abuja)GombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara

Are you willing to travel?*

YesNo

Fields marked with * are required.