New Re-Entry Visa Application (Conventional Zone)

If you have submitted an application and obtained an Application ID and a Reference Number, Please check your application status.

Personal Information

Title^*

Last name (Surname)^*

(Please avoid placing suffixes with your surname)

First name^*

Middle name

Gender^*

Email^*

Date of birth(dd-mm-yyyy)^*

Place of birth^*

Nationality^*

Passport Information

Passport number^*

Issuing Country^*

Date of issue (dd-mm-yyyy)^*

Expiry Date (dd-mm-yyyy)^*

Place of Issue^*

Address

Address 1^*

Address 2

City^*

Country^*

State^*

Postcode

Profession^*

Reason for requiring visa^*

Date of last arrival in Nigeria(dd-mm-yyyy)^*

Proposed Re-Entry date(dd-mm-yyyy)^*

Re-Entry Type^*

- Single
- Multiple

No. of Re-Entries^*

Employer's Information (where applicable)

Name of Employer

Employer's Phone Number

(e.g: +1234567891)

Employer's Address

Address 1

Address 2

City

Country

State

Postcode

Referencies

Referee 1

Name of Referee^*

Phone No.^*

(e.g: +1234567891)

Referee's Address

Address 1^*

Address 2

City^*

Country ^*

State^*

LGA^*

District

Postcode

Referee 2

Name of Referee^*

Phone No.^*

(e.g: +1234567891)

Referee's Address

Address 1^*

Address 2

City^*

Country ^*

State^*

LGA^*

District

Postcode

CERPAC Information (Where Applicable)

CERPAC Number

Issuing Code

Date of issue (dd-mm-yyyy)

Expiry date (dd-mm-yyyy)

Issuing CERPAC Office

Visa Processing Information

Type of visa Required^*

Visa Processing State^*

Visa Processing Office^*

Declaration:
I will be required to comply with the Immigration and other laws governing entry of the immigrants into the country to which I now apply for Visa.

* - Compulsory fields

WARNING

PLEASE ENSURE THAT ALL INFORMATION PROVIDED ON YOUR APPLICATION IS CORRECT BEFORE YOU PROCEED TO PAYMENT. YOUR APPLICATION CANNOT BE EDITED ONCE PAYMENT IS INITIATED.

Visa Services

Free Zone Services

Passport Services

ECOWAS Travel Certificate Services

ECOWAS Residence Card Services

The Nigeria Immigration Service

New Re-Entry Visa Application (Conventional Zone)

WARNING