New Re-Entry Visa Application (Free Zone)

APPLICATION FEES PAID FOR FREEZONE IS NON REFUNDABLE.
PAYMENT SHALL BE REFUNDED ONLY IF DOUBLE PAYMENT IS MISTAKENLY MADE FOR THE SAME APPLICATION.
PAYMENTS ARE VALID FOR SIX (6) MONTHS ONLY FROM THE PAYMENT DATE.
ONLY online payment is acceptable. Anyone who pays otherwise and receives service, is subject to prosecution and revocation of Visa or Passport.
If you have already completed an application, please check your application status rather than completing a duplicate application

Personal Information

Title^*

Last name (Surname)^*

First name^*

Middle name

Gender^*

Email^*

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

Place of birth^*

Nationality^*

Passport Information

Passport number^*

Issuing government

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)^*

Re-entry Category^*

Re-Entry Type^*

- Single
- Multiple

Employer's Information

Name of Employer

Employer's Phone Number

Employer's Address

Address 1

Address 2

City

Country

State

Postcode

Reference

Referee

Name of Referee^*

Address^*

Phone No.^*

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

Free Zone Processing Centre^*

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

Please take printed, and signed form together with evidence of payment to the Nigerian Embassy / High Commission of your residence for further processing.

* - 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 (Free Zone)

WARNING