35A Bode Thomas Street, Surulere, Lagos.

DISPATCH RIDER APPLICATION FORM

DISPATCH RIDER APPLICATION FORM

PLEASE FILL ALL INFORMATIONS
PERSONAL DETAILS
FULLNAME
PRESENT ADDRESS
HOW LONG
DATE OF BIRTH
TELEPHONE
E-MAIL ADDRESS
POSITION APPLIED FOR
Days/Hours of Work
(Please Select 6 days)
Monday   Tuesday   Wednesday   Thursday  
Friday   Satursday   Sunday  
EDUCATIONAL & OTHER INFORMATION
Highest Educational Qualification
Highest Educational Qualification
Do you have a riders license / Card?
What is your means of transportation to work?
Have you ever been convicted of crime?
Do you speak any of the following
English   Yoruba   Igbo  
Hausa   Others  
BANK DETAILS
BANK NAME:
Account Number
ACCOUNT NAME:
NIN
BVN
MARITAL STATUS
MARITAL STATUS
PERSON TO BE NOTIFIED INCASE OF EMERGENCY
NAME
TELEPHONE
ADDRESS
RELATIONSHIP
LIST TWO GUARANTOR(other than relatives or previous employers)
Guarantor 1
NAME
POSITION
COMPANY
ADDRESS
MOBILE
Guarantor 2
NAME
POSITION
COMPANY
ADDRESS
MOBILE
WORK EXPERIENCE
NAME OF EMPLOYER
NAME OF LAST SUPERVISOR
EMPLOYMENT DATE
SALARY
TELEPHONE OF COMPANY
YOUR LAST JOB TITLE
REASON FOR LEAVING(BE SPECIFIC)
ANY HEALTH ISSUES
Employee Confidentiality Agreement

I

acknowledges that the information provided by Omni Channel Limited, and information divulged to employees/clients of Omni Channel by outside parties in the course of business relationships is confidential: therefore, I agrees not to disclose it without the express permission of Omni Channel.

During your work with Omni Channel, you will occasionally be the recipient of Confidential Information either for the fulfilment of your duties or in relation to assign assignments. You agree to hold any of such Information in confidence unless otherwise agreed to in writing by the disclosing authority, and not to disclose any such Information to anyone except the company’s employees who have a need to know and who have agreed in writing to receive confidential information. The obligation set forth herein shall be satisfied by the receiving party exercising the same degree of care used to restrict disclosure and use of its own information of like importance.

Upon request, any information pertaining to Omni Channel and its clients are to be immediately returned to the management of the company.