Visa Application Form - Embassy Of The Federal Republic Of Nigeria Seoul, Korea

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EMBASSY OF THE
FEDERAL REPUBLIC OF NIGERIA
AFFIX PHOTO
SEOUL, KOREA
HERE
VISA APPLICATION FORM
NOTICE: All applicants for Nigerian entry visas and other Consular services must first carefully read the
applicable requirements before filling out the Form.
1.
Surname
2. Other Names
3.
Present Nationality
4. Former nationality if applicable
5.
Gender: M___, F_____
6.
Place of Birth (City, Country)
7.
Date of Birth: dd
mm
yy
8.
Social Security No.
9.
Passport No.
10. Type: Dip_____, Off,____Std____, Others____
11.
Date of issue______________, Expiry Date____________, Place of Issue________
12.
Marital Status: Married________, Single_________, Divorced__________, Widowed___________
13.
Professional Qualification(s)
14.
Occupation
15. Position held
16.
Home Address:
17.
Home Tel. No
18.
Mobile No.
19. Email:
20.
Name of Employer:
21.
Address of Employer:
22.
Tel. No.
23.
Fax No.
24. Email:
25.
Address of place of stay in Nigeria:
26.
Purpose of entry
27. Proposed date of entry:____/______/
28.
Port of entry
29. Length of stay
30.
Previous visits to Nigeria? Yes______, No. _________
31. If Yes, state Visa No.___________________
32.
Who will sponsor your visit to Nigeria?
33a
State names of countries visited in the last five years
33b.
34.
If you are traveling in group, indicate names of group members
I understand that I will be required to comply with the Immigration/Alien and other laws
FOR OFFICIAL USE ONLY
governing entry into the Federal Republic of Nigeria for which I now apply for a Visa/Entry
Date :
Permit.
Serial Number :
Remarks :
Date…………………………………….. Signature……………………………..…………..

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