LiveWIRE Application Form

 Married   Single

1:   2: 

Residential Address
(Not P.O.BOX)

Business Address
(If already in business)


Yes   (If yes please state)    No

Yes   (If yes please state)    No


Yes   (If yes, Number of years)    No

Yes   (If yes, Number of years)    No

References/Guarantors *

NB: If shortlisted, you will be required to attend a face-to-face interview with the following

1. Birth Certificate/Age Declaration sworn affidavit
2. Copies of Educational Qualification
3. Two passports photographs (if you were unable to upload)
4. Local Govt. Identification Letter
5. Letter from any one of the following:
- Paramount Ruler
- CT Chairman
- CDC Chairman
- CDB Chairman

This application does not guarantee being shortlisted for the Shell Livewire Nigeria Programme. Only shortlisted candidates will receive further communication via their email addresses.

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