E-Services Portal

1. Personal Information

Please provide your personal identification and contact information.

Full Name (First, Middle, Last) *

Date of Birth *

Sex *

Male Female

Identification Type *

National ID / Passport No. *

County of Origin *

District of Residence *

Current Residential Address *

Phone Number (Primary) *

Phone Number (Alternate)

Email Address *

Nationality *

Are you a Person with Disability? *

No Yes

If Yes, Please Specify

2. Academic / Institutional Information

Provide details about your current or completed academic programme.

Institution Name *

Program of Study *

Level of Study *

Year of Enrollment *

Expected or Actual Graduation Date *

Student Status *

GPA or Academic Standing if Graduated or Alumni

Training, Degrees or Certifications Received / Expected From This Programme

Additional Schools / Institutions

If you attended another institution, click the plus button below.

3. Skills & Competencies

Tell LNTA about your professional, technical, language and interpersonal skills.

4. Work Experience / Attachments

Provide information about internships, industrial attachments, previous employment and volunteer activities.

Have you completed an Internship / Industrial Attachment or Worked for an Entity Before? *

Yes No

Internship / Attachment / Employment #1

Organization / Employer Name

Role / Position

Start Date

End Date

Work Experience Details

Volunteer / Extracurricular Activities

5. Employment Preferences

Tell LNTA what type of employment opportunity you are interested in.

6. Consent & Declaration

Please review the declaration carefully before submitting your profile.

I consent to my data being used as described above. *

Yes, I Consent No

I consent to being contacted directly by employers. *

Yes No

Declaration

I certify that the information provided in this form is true and accurate to the best of my knowledge.
I understand that LNTA may verify the information provided.
I understand that supporting documents may be requested in hard copy when called upon.

For LNTA Use Only

Verification Status

Date Received

Student Profile Intake Form