Nigerian E-Passport Renewal Form

Note: This form is applicable to Nigerian Embassy in Atlanta, Nigerian Embassy Washington DC and Consulate of NIgeria in New york

***All applicants requiring a new passport or Passport re-issue are required to appear in person for Finger printing and Image Acquisition***

Personal Information

Nigerian Embassy of Preference
* 🛈

5 or 10 Years passport *

Please confirm that all the information entered here is correct. Ensure your "NAME and DATE OF BIRTH" are entered in the correct format as appears on your Nigerian Passport or

For first time applicants or Minors, ensure to enter names as listed on Birth Certificate (Minors and first time applicants).

Any errors on this application form will result and cause a delay in your application process and require an applicant to make multiple payments.

Title *

First Name(As appears on passport)
*

Middle name (As appears on passport)

Other Middle Names (if any)

Last Name (As Appears on passport)
*

Date of Birth (Day/Month/Year) * 🛈 +

Street Address (U.S. Address) *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Email Address *

Place of Birth * 🛈

Mother's maiden name *

State of Origin (Nigeria) *

Home town *

Marital Status *

Height (In Ft) *

Color of Hair *

Old/Expired Passport Number

Reason for renewing/applying for a passport *

National Identity Number (NIN)

Occupation *

Next Of Kin(Emergency Contact)

Next of Kin (Emergency Contact) *

Relationship with Next of Kin *

Contact Number (Next of Kin) *

Nigerian Address (Address in Nigeria) *

Address Line 2

City *

State/Province/Region *

Local Government (In Nigeria)*

Country *

Payment Information

Current Total:

$0.00

Payment Method *

Pay with a secure link

Pay via Cashapp (770-510-9332)

Mail in Money Order/Check

Nigerian Consulate in Atlanta *

Official Government Fee (5 Years) Minor/Adult ($145) + Processing Fee ($60)

Official Government Fee (10 years) Minor/Adult ($245) + Processing Fee($60)

USPS Over Night Return Envelope (Recomended) ($45)

Same day Walk in ($100)

Admin Charges (Compulsory) ($50)

Nigerian Embassy Washington D.C *

Official Government Fee (5 Years) Minor/Adult ($145) + Processing Fee ($60)

Official Government Fee (10 Years) Minor/Adult ($245) + Processing Fee ($60)

USPS Over Night Return Envelope (Recomended) ($45)

Same day Walk in ($100)

Admin Charges (Compulsory) ($50)

Nigerian Consulate in New York *

Official Government Fee (5 Years) Minor/Adult ($145) + Processing Fee ($60)

Official Government Fee (10 Years) Minor/Adult ($245) + Processing Fee ($60)

USPS Over Night Return Envelope (Recomended) ($45)

Same day Walk in ($100)

Admin Charges (Compulsory) ($50)

Terms of Service (Required) *

I have completed my Passport Application form. I have understood and given my permission to accept all the terms and charges. I have accepted to pay all Government and processing fees which is non-refundable and required to process my Passport application.

Signature *

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