APPLICATION FOR NIGERIA ENTRY VISA
Please complete
the form in black ink
Please send with this form: PHOTO TO BE ATTACHED
Two
passport-sized
photographs.
Your current passport.
The correct fee.
A separate form should be
completed by every person
intending to travel unless you
are a dependant under 16
included on your parent's
passport.
1. Reason for travelling to Nigeria (please tick appropriate boxes)
Short stay: Private
(Please specify
Official
Business
Other
)
2. Full name ( as written in your passport)
3. Other names used now or in the past ( eg. Name before marriage)
4. Date of birth
5. Sex (F/M)
6. Town and country of birth
7. Father's full name
8. Mother's full name
(Number )
(Issuing authority )
9. Passport details
(Nationality as shown in passport )
(Place of issue)
(Document type)
(Valid untill - day, month,
(Date of issue)
year).
Is this your first passport? Yes
No
If not please provide details of previous passport(s)
(number)
(date and place of issue)
10.
Colour of hair
Colour of eyes
Height
Complexion
11.What is your present profession/occupation ?
12. Where do you work? (Give details of company/organisation and address)
Tel. No.
Fax No.
What date did you start this job?
13.Academic Qualification.
University/Institution?
Current Status/Rank
14. State in what branches of Armed Forces of your country you have served or are
serving?
Army/ Navy/Airforce/Others
Duration of service
Regiment
From
To
Last rank before discharge
15.What is your present home address and Tel. No.?
16. Please give your permanent address if different from above.
17. Are you? Married
Single
Divorced
Widowed
Separated
18. If married, please give details of spouse (Full name).
Date of birth
Nationality of spouse
Where is your spouse resident?
19. How many children under 18 years old do you have?
Complete this section if dependants included on your passport are travelling with you.
Full name
Relationship
Of dependant Place of birth Date of birth to yourself
20. Have you applied to go to Nigeria before?
No
Nationality
For official
remarks
Yes
If Yes, please give dates and places of application
21. Have you visited Nigeria before? No
Yes
If Yes, please give dates and lengths of each stay
22.
a) Have you ever been refused a visa/ entry clearance at a Nigeria diplomatic
Mission?
b)
Yes
No
. If Yes, Where?
c) Have you ever been refused entry at any of Nigerian Airports No
Yes
d) Have you ever been deported, removed or otherwise required to leave
Nigeria
Yes
No
. If Yes, Where?
e) Have you ever been refused a visa for another country? If Yes name country.
Yes
No
f) Have you ever been deported from another country? If Yes name country.
Yes
No
g) Do you have any criminal convictions in Nigeria or elsewhere? Yes
23. Country of residence
How long have you lived in the above country?
Give countries you lived more than a year?
Which countries have you visited in the last 12 months
24. How long do you intend to stay in Nigeria?
25. What is your proposed date of arrival to Nigeria?
26. How much money is available to you during your stay?
a) From your own resources
No
b) From other sources
27.
Do you have any relatives or friends in Nigeria? Yes
No
28. Where will you stay in Nigeria? Please give details of host/sponsor/contact address
If you are staying in a hotel give its name and address.
Full name of sponsor/contact address/hotel
Address
Tel No.
Resident in Nigeria
29.
Fax
Occupation
Relationship to you
Is your visit for business or official reasons? Yes
No
if "Yes" give name of the company/organisation to be visited
30. Have you obtained written permission of your Sponsor/Business partner as
referees?
Please, show written evidence.
31.
Are you travelling to another country before Nigeria? Do you have a visa or
residence permit for that country?
Yes
No
If "Yes" give the name of country
32. (i) To which country are you travelling after Nigeria?
(ii) Do you have a visa for that country? Give details of your visa.
Number
Valid until
Issuing authority
Drugs Warning: Nigeria has severe penalties against drug smuggling. Drug
traffickers may try to use travellers. If you are travelling to
Nigeria avoid any involvement with narcotics.
DECLARATION
Applicant's signature
I have read and understood the notes above.
I declare that the information given in this
application is correct to the best of my
knowledge and belief.
Date