"Application for Nigerian Visa - Embassy of the Federal Republic of Nigeria" - Washington, D.C.

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APPLICATION FOR NIGERIAN VISA
IMPORTANT NOTICE TO ALL VISA APPLICANTS:
PHOTOGRAPH
PLEASE READ THE FOOTNOTE ON THE BACK PAGE
BEFORE FILLING OUT HIS FORM. VISA FORM MUST
BE COMPLETED IN FULL AND SUBMITTED WITH
PASSPORT PHOTOGRAPH, PHOTOCOPY OF ROUND
TRIP TICKET, VALID PASSPORT, AND FEE RELEVANT
TO YOUR NATIONALITY.
This form must be completed in full. Your application may be rejected for wrong and
misleading information.
1.
Surname_______________________Name___________________MI__________
2.
Former Names and Aliases (if any)______________________________________
3.
Sex____________________________________(Male/Female)
4.
Present Nationality_____________4b. Previous Nationality (if any) ___________
5.
Place of Birth (City)_________________(Country) __________________________
5b.
Marital Status ____________________________ (Married/Single/Widow/Widower)
6.
Date of Birth _____________________________________(d/m/y)
7.
Residential Address _____________________________________________________
7b.
Telephone Number ______________________________________________________
8.
Office Address __________________________________________________________
8b.
Telephone Number ______________________________________________________
9.
Profession ______________________________________________________________
10.
State what branches of the Armed Forces of your country you have served in or are
serving in _______________________________ From_____________ To _________
11.
Colour of Hair _______Colour of Eyes _______Height______ Complexion _______
12.
Visible identification marks _______________________________________________
1
APPLICATION FOR NIGERIAN VISA
IMPORTANT NOTICE TO ALL VISA APPLICANTS:
PHOTOGRAPH
PLEASE READ THE FOOTNOTE ON THE BACK PAGE
BEFORE FILLING OUT HIS FORM. VISA FORM MUST
BE COMPLETED IN FULL AND SUBMITTED WITH
PASSPORT PHOTOGRAPH, PHOTOCOPY OF ROUND
TRIP TICKET, VALID PASSPORT, AND FEE RELEVANT
TO YOUR NATIONALITY.
This form must be completed in full. Your application may be rejected for wrong and
misleading information.
1.
Surname_______________________Name___________________MI__________
2.
Former Names and Aliases (if any)______________________________________
3.
Sex____________________________________(Male/Female)
4.
Present Nationality_____________4b. Previous Nationality (if any) ___________
5.
Place of Birth (City)_________________(Country) __________________________
5b.
Marital Status ____________________________ (Married/Single/Widow/Widower)
6.
Date of Birth _____________________________________(d/m/y)
7.
Residential Address _____________________________________________________
7b.
Telephone Number ______________________________________________________
8.
Office Address __________________________________________________________
8b.
Telephone Number ______________________________________________________
9.
Profession ______________________________________________________________
10.
State what branches of the Armed Forces of your country you have served in or are
serving in _______________________________ From_____________ To _________
11.
Colour of Hair _______Colour of Eyes _______Height______ Complexion _______
12.
Visible identification marks _______________________________________________
1
13.
Passport No. ________Date Issued ________ (d/m/y) Issuing Government ________
14.
Reason for Journey ______________________________________________________
15.
Date of previous visit to Nigeria and address at which you stayed __________(d/m/y)
16.
Proposed date of travel _________________ (d/m/y) 17. Length of stay __________
18.
If your reason for journey to Nigeria is for employment, state :
a)
Name of Employers ________________________________________________
b)
Post to be occupied ________________________________________________
c)
Give a full description of job
19.
Persons joining spouses, parents or relatives, should give full particulars of the
employment of spouses, parents or relatives in Nigeria including the address of
where they reside
________________________________________________________________________
20.
How long has/have your spouse/parents/relatives been in Nigeria _______________
21.
Give your intended address in Nigeria (NOT P.O. BOX) _______________________
22.
Have you applied for a Nigeria visa before? Yes/No ___________________________
23.
Where did you apply for the visa ___________________________________________
24.
Indicate whether visa was Granted or Rejected ______________________________
25.
Give reason if visa was Rejected ___________________________________________
26.
How long have you lived in the country where you are applying for Visa/Entry
Permit ________________________________________________________________
2
27.
Give a list of the countries you have lived in for more than a year during the last five
years :
COUNTRIES
CITIES
DATES
________________________
__________________
____________
________________________
__________________
____________
________________________
__________________
____________
In applying for Visa/Entry Permit, I understand that I will be required to
comply with the Immigration and other laws governing entry of immigrants to
Nigeria.
Signature _____________________________ Date _____________________(d/m/y)
PLEASE NOTE:
accompany their
with
Permit, letter of appointment and a
A.
Persons going for employment must
application
a Work
must be completed
Quadruplicate.
quota. Form
in
B.
Persons going on Government/Official business need to have an official letter, one passport photograph, and
passport.
C.
Persons going on business need to have a letter of invitation, copy of airline ticket. Valid passport and a
passport photograph.
st
five pages of host’s passport, a
D.
Visitors must have a contact address, a letter of invitation, copies of 1
passport photograph, and a valid passport to accompany application form.
E.
Non-refundable fees are charged according to nationality. Please find out the appropriate fee from the Visa
Office at telephone number (202) 822-1500.
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