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Visa App Form

This 3 sentence summary provides the essential information from the Federal Republic of Nigeria visa/entry permit application form: The form requests personal details such as name, date of birth, passport information, contact details, purpose and duration of visit, health, and criminal history for those applying for a visa or entry permit to Nigeria. Applicants must provide accurate information and are required to comply with Nigeria's immigration and alien laws.

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35 views

Visa App Form

This 3 sentence summary provides the essential information from the Federal Republic of Nigeria visa/entry permit application form: The form requests personal details such as name, date of birth, passport information, contact details, purpose and duration of visit, health, and criminal history for those applying for a visa or entry permit to Nigeria. Applicants must provide accurate information and are required to comply with Nigeria's immigration and alien laws.

Uploaded by

dirgapatigavis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FEDERAL REPUBLIC OF NIGERIA

Form Imm.22

Colored
Photograph
4x6

APPLICATION FORM FOR VISA/ENTRY PERMIT

*Please fill the form in CAPITAL LETTERS

This form must be completed in full, your application may be rejected for wrong and misleading information

1.Surname (MR/MRS/MISS) ………………………..Other Names………………………………………………….

2. Sex………………………………..Marital Status………………………………………………………………….

3a. Present Nationality ……………………………………3b. Previous Nationality………………………………...

4a. Date of Birth (DD/MM/YYYY)…………………………4b. Place of Birth…………………………………...

5. Residential Address ………………………………………………………………………………………………

………………………………………………….Telephone. No…………………………………………………….

6. Office Address………………………………………………………………………………………………………

……………………………………………………Telephone No…………………………………………………….

7. Profession ……………………………………………………………………………………………………….

8. State what branches of the Armed Forces of your country you have served or are serving in
………………………………………From………………………………….to……………………………………...

9. Color of Hair…………………….Color of Eyes………………………….Height………………………………..

10. Visible Identification Marks………………………………………………………………………………………

11. Passport No………………………..Date of Issue……………………….Date of Expiry…………………….…

Place of Issue……………………………….Issuing Government…………………………………………….…

12. Purpose of Journey (please give full details)………………………………………………………………………

………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………
13.Number of entries required: A. Single B. Multiple

14. Intended Duration of Stay………………………………………………………………………………


15a.Proposed Date of Travel (DD/MM/YYYY)………………..15b.Mode of Travel to Nigeria….……….
16. Indicate how much money is available for your trip……………………………………………………
17. 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…………………………………………………………………………
………………………………………………………………………………………………………...
………………………………………………………………………………………………………...
18. Persons joining spouses, parents or relatives, should give full particulars of the employment of
Parents or Spouse in including the address where they reside……………………………………….…..
……………………………………………………………………………………………………………
19. How long has /have your spouse /parents been in Nigeria………………………………………….……
20. Your intended address in Nigeria (NOT P.O.BOX)……………………………………………………..
…………………………………………………………………………………………………………..
21. Have you ever applied for Nigerian visa before? Yes / No
22. If Yes, Where did you apply for the visa?………………………………………………………………..
23. Indicate whether visa was granted or rejected……………………………………………………………
24. Give reason if visa was rejected………………………………………………………………………….
25. Have you ever visited Nigeria? Yes / No
26. If Yes, What was it for:
i. Tourism

ii. Business

iii. Temporary Employment

iv. Residence

v. Transit
27. State the period of these visits and the addresses at which you stayed…………………………………
From To Address
i. ………………………. …………………………… …………………………
ii. ……………………….. ………………………….. ………………………...
iii. ………………………… …………………………… ………………………...
28. How long have you lived in the country where you are applying for visa/entry permit?
…………………... …………………………………………………………………………………………..
29. Have you ever:
a) Been infected by any contagious disease (e.g.Tuberculosis) or suffered serious mental illness
Yes / No
b) Been arrested or convicted for any offence or crime even though subject of pardon, arrested
or other such legal action? Yes / No
c) Been involved in narcotic activities? Yes / No
d) Been deported? Yes / No
If Yes, from which country?…………………………………………………………………………
e) Sought to obtain a visa by misrepresentation or fraud? Yes / No
f) Tested positive for HIV/AIDS? Yes / No
If Yes, please state status …………………………………………………………………………….
30. Give a list of the countries you have in for more than a year during the last five years:
Country City Date
………………………… ……………………….. ………………………………
………………………… ………………………… ………………………………
…………………………. ………………………… ………………………….......
31. Which Countries have you visited during the last twelve (12) months?
Country City Date
……………………….. ………………………. …………………………
………………………… ………………………. …………………………
………………………… ……………………….. …………………………
I understand that I will be required to comply with the Immigration/Alien and other laws governing
entry of the country for which I now apply for Visa/Entry Permit.

Date (DD/MM/YYYY)………………………………Signature……………………………………………
For official use only:

DATE REMARKS (FOR OFFICIAL USE ONLY)

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