Form Imm/22a - Application For Nigerian Visa/entry Permit Form
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1
2IMM/22A
2 Passport
APPLICATION FOR NIGERIAN VISA/ENTRY PERMIT
Photographs
This form must be completed in block letters
NO___________________
1. Surname
Others Names
2. Sex
3. Date of Birth
Place of Birth
4. Profession
5. Nationality: Former
Present
6. Height
7.Color of Eyes
8.Complexion
9. Marks of Identification
10. State whether Single/Married/Divorced/Widowed
11. Date of last arrival in Nigeria
12. Passport
No Issued
at on
13. For how long do you propose to remain in Nigeria
days/Month/year?
14. Names, nationalities and relationships with persons traveling with you.
15. Purpose of visit (Tourist, Business, Transit)
16. If above is business, state specific nature of business (submit photocopies of relevant
documents)
17.If Tourism, where will you stay in Nigeria.
18.Who is sponsoring your trip (If self, attach proof of sustenance)
19 If above is for employment, state:
(a) Name and Address of Employers
(b) Post to be occupied.
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Parent category: Business