IMM/22A



IMM/22A

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|2 Passport |APPLICATION FOR NIGERIAN VISA/ENTRY PERMIT |

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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 plexion

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.

20. My references in Nigeria are as follows:

(1) Name:

Address and Telephone Number:

(2) Name:

21.Addresses and Telephone Numbers in Nigeria (Not Post office Box)

22. Addresses and Telephone Numbers (Home and Business) in Switzerland

23 When do you intend to arrive in Nigeria (attach flight particulars)

24. Have you been refused visa to Nigeria before? Why, if yes

** I understand that I will be required to comply with the immigration and other Laws governing the entry of immigrants into Nigeria for which I now apply for entry permit**

Date Signature

Official use only

|Date |Minutes/Comments |

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** Please, Note that you can only apply for entry visa if you are Swiss or resident in Switzerland, `Processing takes at least 3 days`

Attaches carnet de passage if traveling by road and photocopy of resident permit.

Official use only

1.Visa approved/disapproved

2.Approved by Sign and Date

3.Disapproval by Sign and Date

4.Disapproval reviewed by Sign and Date

5.Remarks

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