The Nigeria Immigration Service

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Standard ePassport Application Form

Important Information

Application Id: 18972996

Reference No: 66416650957957

General Information
Title
MR

Last name (Surname)


Abubakar

First name
Ishaka

Middle name

Gender
Male

Date of birth (dd-mm-yyyy)


02 02 1999

Passport Booklet Type


32 Pages

Validity Type
5 Years

National Identity Number (NIN)


84275055562

Place of birth
Talata mafara

Permanent Address (in Nigeria)


Address 1
Tudun wada layout

Address 2

City
Talata mafara

Country
Nigeria

State
Zamfara

LGA
Talata Mafara

District
Galadima
Postcode
622103

Contact Information
State of Origin
Zamfara

Nationality
Nigeria

Home town
Talata mafara

Contact phone
+2349033491099

Email
ishaqkelvin273@gmail.com

Mobile phone
+2348164284078

Occupation

Maiden name

Personal Features
Marital status
Single

Color of eyes
Blue

Color of hair
Black

Height (in cm)


50

Other Information
Special Features

Next of kin name


Ishaka Abubakar

Relationship with next of kin


Brother

Contact number of next of kin


+2349033491099

Kin Address
Address 1
Nil

Address 2

City
Nil

Country
Nigeria
State
Zamfara

LGA
Talata Mafara

District

Postcode

Passport Processing Country, State and Office


Processing Embassy
Ottawa

Submission
Any false declaration on this form may lead to the withdrawal of the passport and/or prosecution of the applicant.

Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Signature / Thumb Impression: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


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