Embassy Of Nigeria Twp Visa Application Form Page 4
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423
You hold what country’s Passport?
Type:
24
Passport No.
Date of Issue
Expiry date
Place of Issue
25a Tick type of Visa required Diplomatic
Official
Transit
25b
STR
TWP
Business
26
Proposed date of Travel :
Port of Entry:
27
Itinerary
Attach Copy of flight booking
28
Please, provide in the space below, full description of the job you will be handling while in Nigeria
…………………………………………………………………………………………………………………………………………………………………………
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29
If you are joining spouse, parents or relatives, please state particulars of their employment in Nigeria
including the detailed addresses of their residence and Office:
a) Residence at No,………………………………………………………………………………………………………………………….......
b) Office at No……………………………………………………………………………………………………………………………………….
30
Your Reference in Nigeria (P.O Box not acceptable)………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………..
31a State where and when you last applied for entry visa to Nigeria
32b Indicate whether visa was: a) Granted____________ b) Rejected____________
33
Date of previous visits to Nigeria (If applicable) and address at which you stayed
Dates:……………………………………………………………………………………………………………………………………………………………..
Address:………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………..
34
How long have you stayed in Korea?
35
Indicate countries you have lived in for more than a year in the last five (5) years
Countries
Cities
Dates
……………………………………..
……………………………….
……………………………………………
……………………………………..
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Which countries have you visited in the last twelve months
Countries
Cities
Dates
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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……………………………..…………..
Page 4 of 4
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