Form Imm. 22 - Application Form For Visa/entry Permit printable pdf download

EMBASSY OF THE FEDERAL REPUBLIC OF NIGERIA

Form Imm. 22

PHOTOGRAPH

APPLICATION FORM FOR VISA/ENTRY PERMIT

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

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

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

3a.

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

4a.

Date of Birth (day/month/year)……………………… 4b. Place of Birth …………………………………….

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

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

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

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

Profession ……………………………………………………………………………………………………….

State what branches of the Armed Forces of your country you have served or are serving

in …………………………………………………. From ……………………. to …………………………….

Colour of Hair ……………………………..Colour 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 (day/month/year) ………………(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:

Name of Employers ……………………………………………………………………………………

Post to be occupied…………………………………………………………………………………….

Give a full description of job ………………………………………………………………………….

………………………………………………………………………………………………………….

Form Imm. 22 - Application Form For Visa/entry Permit