Citizen Registration

NOTICE:

(1) As an applicant, remember you must print out the CONFIRMATION details sent to you via your email bring it along to the embassy.

(2) Form can also be downloaded here, filled legibly, and submitted at the Embassy.

Citizen Registration:

SECTION A - PERSONAL DATA

Instructions: Fill all information required on the form below.
Last Name: *
First Name: *
Initials /Other Names: *
Maiden Name:
Contact Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Telephone Number: *
Facsimile Number:
Mobile Phone: *
Email Address: *Please, use a valid email address; for you will be contacted through the email.

SECTION B - PASSPORT INFORMATION

Date Of Birth: *
Passport Number: *
Date Issue: *
Place Of Issue: *

SECTION C - OTHER INFORMATION

Sex *
FemaleMale
Marital Status: *
MarriedSingle
Height (Ft/M):
Blood Group:
Employer:
Other Medical Condition: (In Case Of Emergency) *

SECTION D - EDUCATION INFORMATION

Profession:
Educational Qualification(s) With Date(s):

SECTION E - EMPLOYMENT INFORMATION (OPTIONAL)

Contact Address:
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile Phone:

SECTION F - NEXT OF KIN'S DATA

Instructions: FILL UP YOUR NEXT OF KIN INFORMATION IN IRELAND
Full Name: *
Relationship: *
Contact Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Telephone: *
Instructions: FILL UP YOUR NEXT OF KIN INFORMATION IN NIGERIA
Full Name: *
Relationship: *
Contact Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Telephone: *

SECTION G - PERMANENT ADDRESS IN NIGERIA

Contact Address: *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile Phone: *

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

NOTICE:

Remember you must print out the CONFIRMATION details sent to you via your email bring it along to the embassy. Thank you.