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APPLICATION FORM FOR VISA/ENTRY PERMIT - …

FEDERAL REPUBLIC OF form FOR VISA/ENTRY PERMITThis form must be completed in full. Your APPLICATION may be rejected for wrong and misleading (MR/MRS/MISS) nameMiddle Sexb. Marital Statusc. Full name and address of Nationality4b. Previous of Birth(day/month/year)5b. Place of AddressTelephone 's what branches of the Armed Forces of your country you have served in or are serving of HairColour of Identification of issueDate of expiryPlace of issueIssuing of journey(please give full details)( A separate form for personal History is no longer required.) form Imm of entries SingleB. duration of date of travel(day/month/year) of travel to on transit, what is your destination? you got entry visa to your country of destination?

FEDERAL REPUBLIC OF NIGERIA No. APPLICATION FORM FOR VISA/ENTRY PERMIT This form must be completed in full. Your application may be rejected for wrong and misleading information.

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Transcription of APPLICATION FORM FOR VISA/ENTRY PERMIT - …

1 FEDERAL REPUBLIC OF form FOR VISA/ENTRY PERMITThis form must be completed in full. Your APPLICATION may be rejected for wrong and misleading (MR/MRS/MISS) nameMiddle Sexb. Marital Statusc. Full name and address of Nationality4b. Previous of Birth(day/month/year)5b. Place of AddressTelephone 's what branches of the Armed Forces of your country you have served in or are serving of HairColour of Identification of issueDate of expiryPlace of issueIssuing of journey(please give full details)( A separate form for personal History is no longer required.) form Imm of entries SingleB. duration of date of travel(day/month/year) of travel to on transit, what is your destination? you got entry visa to your country of destination?

2 Yes how much money is available for your your reason for journey to Nigeria is for employment, state:a)Name of Employersb)Post to be occupiedc)Give a full description of joining spouses, parents or relatives, should give full particulars of the employment of parents or spouse in Nigeria including the address where they long has/have your spouse/parents been living in Intended address in Nigeria (NOT Box) you ever applied for a Nigerian visa before? did you apply for the visa ? whether visa was granted or reason if visa was you ever visited Nigeria? yes, was it for:iTourismiiBusinessiiiTemporary the Period of those visits and the Address at which you long have you lived in the country where you are applying for VISA/ENTRY PERMIT ?

3 You ever:a)Been infected by any contagious diseased ( Tuberculosis) or suffered seriousmental illness?YesNob)Been arrested or convicted for any offence or crime even though subject of pardon, arrested or other such legal action? YesNoc)Been involved in narcotic activities?YesNod)Been deported? YesNoIf so, from which country?e)Sought to obtain a visa by misrepresentation or fraud? YesNod)Tested positive to HIV AIDS? If yes, please state a list of the countries you have lived in for more than a year during the last five countries have you visited during the last twelve(12) months:FromtoAddressCountryCityDateCount ryCityDateI understand that I will be required to comply with the Immigration/Alien and other laws governing entry of Immigrants into the country for which I now apply for VISA/ENTRY official use (FOR OFFICIAL USE ONLY)


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