New Nigerian E-Passport Application Form

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

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

Personal Information

Nigerian Embassy of Preference * 🛈

Title *

First Name *

Middle name

Last Name *

Date of Birth (date/month/year) * 🛈 +

Street Address (U.S. Address) *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Email Address *

Place of Birth * 🛈

State of Origin (Nigeria) *

Home town *

Reason applying for a New Passport *

National Identity Number

Marital Status *

Height (In Ft) *

Color of Hair *

Next of Kin(Emergency Contact)

Next of Kin (Emergency Contact) *

Relationship with Next of Kin (Emergency Contact) *

Contact Number (Next Of Kin) *

Nigerian Address(Address in Nigeria) *

Address Line 2

City *

State/Province/Region *

Local Government (In Nigeria) *

Country *

Payment Information

Nigerian Embassy In Atlanta *

Official Government Fee Adult 18-60yrs ($145) + Service Charge($49) & Over Night Return Envelope (Compulsory)

Official Government Fee Minor (0-18yrs) & Seniors (60 & Older) ($145) + Service Charge ($49) & Over Night Return Envelope (Compulsory)

Embassy Washington D.C *

Official Government Fee Adult 18-60yrs ($145) + Service Charge($49) & Over Night Return Envelope (Compulsory)

Official Government Fee Minor (0-18yrs) & Seniors (60 & Older) ($145) + Service Charge ($49) & Over Night Return Envelope (Compulsory)

New York Consulate *

Official Government Fee Adult 18-60yrs ($145) + Service Charge($49) & Over Night Return Envelope (Compulsory)

Official Government Fee Minor (0-18yrs) & Seniors (60 & Older) ($145) + Service Charge ($49) & Over Night Return Envelope (Compulsory)

Current Total:

$0.00

Payment Method *

Pay with Zelle - Nigerian Passport Service, 770-510-9332

Mail in Money Order - Nigerian Passport Service, 8046 Roswell Rd, 101B, Atlanta, GA 30350

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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