(02) 6215 8500
chancery@nigeria-can.org.au
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Data Form

    NIGERIA HIGH COMMISSION, CANBERRA

    DATA ON BONA-FIDE NIGERIANS IN AUSTRALIA, NEW ZEALAND, PAPUA NEW GUINEA, FIJI & VANUATU

    PERSONAL DETAILS
    TITLE
    SURNAME
    FIRST NAME
    MIDDLE NAME
    SEX
    DATE OF BIRTH
    PLACE OF BIRTH
    HOME TOWN
    LOCAL GOVERNMENT AREA
    STATE OF ORIGIN
    NATIONALITY
    HEIGHT
    OCCUPATION
    PROFESSION
    EMPLOYER
    UPLOAD YOUR PHOTO
    CONTACT DETAILS
    CURRENT RESIDENTIAL ADDRESS
    PERMANENT ADDRESS in NIGERIA
    POSTAL ADDRESS
    TELEPHONE NUMBER (HOME)
    (MOBILE)
    EMAIL ADDRESS
    DETAILS FROM YOUR PASSPORT
    (a) PASSPORT NO
    (b) DATE OF ISSUE
    (c) PLACE OF ISSUE
    (a) VISA STATUS
    (b) DATE OF ARRIVAL
    MARITAL STATUS
    KIN/GUARANTOR DETAILS
    NAME, HOME ADDRESS, PHONE NUMBER & E-MAIL OF NEXT OF KIN IN NIGERIA
    NAME AND ADDRESS OF GUARANTOR
    NUMBER & NAMES OF CHILDREN
    NAME
    DOB
    PLACE OF BIRTH
    PASSPORT NO (if any)

    ACADEMIC/WORK DETAILS
    COURSE OF STUDIES BEING PURSUED
    LEVEL OF COURSE
    DATE OF COMMENCEMENT OF COURSE
    EXPECTED DATE OF COMPLETION OF COURSE
    TYPE OF COURSE YOU ARE UNDERTAKING
    NAME & ADDRESS OF THE INSTITUTION WHERE COURSE IS HELD
    NAME & ADDRESS OF SPONSOR
    PRESENT EDUCATION OR ACADEMIC QUALIFICATION OF DATES OF ATTAINMENT:
    PLACE OF WORK
    DETAILS OF PREVIOUS WORK
    OTHER REMARKS

    Visa Categories

    Visa Services

    Nigeria

    Contact Us

    Nigeria High Commission 26 Guilfoyle St Yarralumla ACT 2600
    Phone: (02) 6215 8500
    Email: chancery@nigeria-can.org.au

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