Citizen Registration

NOTICE:

(1) Applicants are required to print the CONFIRMATION details sent to their email and bring them along to the Embassy.

(2) The form can also be downloaded here, completed clearly and legibly, and submitted in person at the Embassy.

CITIZEN REGISTRATION DATA (ONLINE COPY)
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SECTION A - PERSONAL DATA
Provide accurate information
Last Name:
First Name:
Initials/Other Names:
Maiden Name:
Contact Address:
Address Line 1
Address Line 2
City
State
Zip Code
Country
Telephone Number:
Facsimile Number:
Mobile Number:
Email Address:
SECTION B - PASSPORT INFORMATION
Provide accurate information
Date of Birth:
Passport Number:
Date Issue:
Place of Issue:
SECTION C - OTHER INFORMATION
Provide accurate information
Sex:
Male
Female
Marital Status:
Single
Married
Height (Ft/M):
Blood Group:
Employer:
Other Medical Condition: (In Case of Emergency):
SECTION D - EDUCATION INFORMATION
Provide accurate information
Profession:
Educational Qualification(s) With Date(s):
SECTION E - EMPLOYMENT INFORMATION (OPTIONAL)
Provide accurate information
Employer's Contact Address:
Address Line 1
Address Line 2
City
State
Zip Code
Country
Employer's Mobile Phone:
SECTION F - NEXT OF KIN'S DATA
Instructions: FILL UP YOUR NEXT OF KIN INFORMATION IN IRELAND
First Name
Middle Name
Last Name
Next of Kin 1's Relationship:
Next of Kin 1's Contact Address:
Address Line 1
Address Line 2
City
State
Zip Code
Country
Next of Kin 1's Telephone:
Instructions: FILL UP YOUR NEXT OF KIN INFORMATION IN NIGERIA
First Name
Middle Name
Last Name
Next of Kin 2's Relationship:
Next of Kin 2's Contact Address:
Address Line 1
Address Line 2
City
State
Zip Code
Country
Next of Kin 2's Telephone:
SECTION G - PERMANENT ADDRESS IN NIGERIA
Provide accurate information
Contact Address in Nigeria:
Address Line 1
Address Line 2
City
State
Zip Code
Mobile Phone in Nigeria:

NOTE:

Please note again that it is mandatory to print out the CONFIRMATION slip sent to your email and present it at the Embassy.

Thank you.