Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name: *Father’s Name: *FirstMiddleLastMother’s Name: *FirstMiddleLastElectoral District #: *Sex/Gender:MaleFemaleVoting Center Locality *Height: #: Name: Place Voting Center Code: *Place of Birth:Marital Status:SingleMarriedSeparatedDivorcedWidow(er)If married, Spouse Name:Contact Number: *Do you hold citizenship of another country?NoYesEmail Address: *If Yes Country Name:*Have you resided in another country for more than 2 years? NoYesIf Yes Country Name:Status:Card Type: National ID cardNational ID Card (ECOWAS)Documents Attached to Application FormPassportVoter IDBirth CertificateNaturalization CertificateOthersFull Name:FirstMiddleLastNIN No:Contact Number:Applicant’s Signature / Trumb PrintImmigration Officer SignatureNIR Officer Signature & StampSubmit
