Open PDF4 pages, A4. Print single-sided, complete by hand, then post or deliver it.
Haven logo
Haven Management & Employment AgenciesPLOT 7&9 Oakwood Park, Shimawa Village Road, Along New RCCG Auditorium 121102 Shagamu, Ogun StateTel: +234 816 343 5375 · recruitment@oakhavencorp.com · talent.oakhavencorp.com
Employment Application FormHMEA-F01 · v1.0 (Oct 2026)Page 1 of 4Office ref: ____________

Employment Application Form

Use this form if you cannot apply online at talent.oakhavencorp.com. Please write clearly in CAPITAL LETTERS with a black or blue pen. Applying online is faster: you get a HAVEN-ID and can track your application straight away.

  1. Complete every section. Write "N/A" if something does not apply.
  2. Sign the declarations on page 4.
  3. Attach photocopies (never originals) of your NIN slip, a second ID, your certificates and a passport photograph.
  4. Post or hand-deliver to the address on page 4, or scan and email it to recruitment@oakhavencorp.com.
Attach a recent passport photograph here

(do not staple through the face)
Haven never charges a fee to apply or to get a job. If anyone asks you to pay, call +234 816 343 5375.

1Position you are applying for

Job title
Job ID (e.g. HJ-1005)
State / location
Type of workFull-timePart-timeTemporaryContractDaily shiftAny
Where did you hear about this job?

2Personal details

Write your names exactly as they appear on your NIN slip.

Surname
First name
Middle name
Other names used before (e.g. maiden name)
Date of birth (DD/MM/YYYY)
Gender (optional)FemaleMalePrefer not to say
Nationality
Are you allowed to work in Nigeria?Nigerian citizenValid work permit / CERPAC
Permit no.

Haven does not ask about ethnicity, religion, state of origin, marital status, pregnancy or HIV status, and never uses them in hiring decisions.

3Identity

NIN (11 digits)
Second IDPassportDriver's licenceVoter's card
Second ID number
Expiry date

Do not write your BVN on this form. If your job needs it for salary payment, Haven collects it securely at onboarding.

4Address and contact

Home address
Town
LGA
State
Previous address (if under 3 years at this one)
Phone
WhatsApp (if different)
Email
Preferred contactPhone callSMSWhatsAppEmail
Haven logo
Haven Management & Employment AgenciesPLOT 7&9 Oakwood Park, Shimawa Village Road, Along New RCCG Auditorium 121102 Shagamu, Ogun StateTel: +234 816 343 5375 · recruitment@oakhavencorp.com · talent.oakhavencorp.com
Employment Application FormHMEA-F01 · v1.0 (Oct 2026)Page 2 of 4Office ref: ____________

5Emergency contacts

Give three different people. Do not use your own phone number.

Emergency contact 1
Full name
Relationship
Phone
Address
Emergency contact 2
Full name
Relationship
Phone
Address
Emergency contact 3
Full name
Relationship
Phone
Address

6Employment history

Start with your current or most recent job. Include the last 5 years. Explain any gap of more than 3 months on page 3.

Employer 1 (current or most recent)
Employer name
Town / state
Job title
From (MM/YYYY)
To (MM/YYYY)
Supervisor's name
Supervisor's phone
Monthly pay (₦)
Main duties
Reason for leaving
May we contact this employer?YesNot yet
Employer 2
Employer name
Town / state
Job title
From (MM/YYYY)
To (MM/YYYY)
Supervisor's name
Supervisor's phone
Monthly pay (₦)
Main duties
Reason for leaving
May we contact this employer?YesNot yet
Haven logo
Haven Management & Employment AgenciesPLOT 7&9 Oakwood Park, Shimawa Village Road, Along New RCCG Auditorium 121102 Shagamu, Ogun StateTel: +234 816 343 5375 · recruitment@oakhavencorp.com · talent.oakhavencorp.com
Employment Application FormHMEA-F01 · v1.0 (Oct 2026)Page 3 of 4Office ref: ____________
Employer 3
Employer name
Town / state
Job title
From (MM/YYYY)
To (MM/YYYY)
Supervisor's name
Supervisor's phone
Monthly pay (₦)
Main duties
Reason for leaving
May we contact this employer?YesNot yet
Explain any gaps in employment

7Education, training and NYSC

School / institutionCourse or subjectQualification (e.g. WAEC, OND, HND, BSc)From (YYYY)To (YYYY)
SSCEWAECNECONABTEBNone
Exam no. and year
Credits
NYSCDischarge certificateExemptionExclusionServingNot applicable
NYSC certificate no.
Professional or trade licences (body, number, expiry)

8Skills and availability

Main skills
Computer / software skills (e.g. Excel, Opera, HavenUP, Protel or similar PMS)
Languages spoken
Driver's licenceNonePrivateCommercial
Earliest start date
Notice period
Expected monthly pay (₦)
Shifts you can workWeekdaysWeekendsNightsPublic holidays
Willing to relocate?YesNo

9References

Three people who know your work, not relatives. Haven contacts them only after an interview.

Referee 1 (former supervisor preferred)
Full name
Relationship to you
Organisation
Phone
Email
Referee 2
Full name
Relationship to you
Organisation
Phone
Email
Referee 3
Full name
Relationship to you
Organisation
Phone
Email
Haven logo
Haven Management & Employment AgenciesPLOT 7&9 Oakwood Park, Shimawa Village Road, Along New RCCG Auditorium 121102 Shagamu, Ogun StateTel: +234 816 343 5375 · recruitment@oakhavencorp.com · talent.oakhavencorp.com
Employment Application FormHMEA-F01 · v1.0 (Oct 2026)Page 4 of 4Office ref: ____________

10Declarations and consent

Please read, tick each box and sign.

Truth. The information on this form is true and complete. I understand that false information may end my application or later employment. Recruitment (NDPA 2023). I agree that Haven Management & Employment Agencies may use my details to consider me for jobs, share my profile with prospective employers, and contact me. Haven keeps applications for 12 months after they close, then reviews and deletes or anonymises them. I may see, correct or withdraw my data at any time by writing to the Data Protection Officer at the address below or at recruitment@oakhavencorp.com. References. Haven may contact the referees and past employers I listed after an interview. Messages (optional). Haven may send me job alerts by SMS, WhatsApp or email.

Background checks (identity, education, employment, and, for some roles, police character, credit or driving records) run only after a conditional job offer, with a separate consent form that you sign then.

Signature
Full name
Date

11Checklist before you post

All pages completed and signedPassport photograph attachedCopy of NIN slip or cardCopy of second IDCopies of certificates (SSCE, degree/HND, NYSC)Copies of licences (if any)

12Where to send this form

Post or hand-deliver toThe Recruitment Desk
Haven Management & Employment Agencies
PLOT 7&9 Oakwood Park,
Shimawa Village Road,
Along New RCCG Auditorium
121102 Shagamu, Ogun State
QuestionsPhone / WhatsApp: +234 816 343 5375
Email: recruitment@oakhavencorp.com
Online: talent.oakhavencorp.com
Office hours: Monday–Friday, 9:00–17:00 WAT
We write to you within 10 working days with your HAVEN-ID.

Data Protection Officer: write to the address above or email recruitment@oakhavencorp.com, marked "Data Protection Officer". You can ask to see, correct or delete your data at any time.

For office use only
Received on
Received by
HAVEN-ID issued
Entered online by
Date entered
ID copies seenNIN2nd ID
Notes