Nigeria – Daten Für Den Online-Antrag°
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Nigeria – Daten für den Online-Antrag° Bitte den Antrag mit dem Computer ausfüllen da die Daten maschinell gelesen werden!° PERSÖNLICHE INFORMATIONEN: Anrede:_________________________________________________________ Vorname: _______________________________________________________ Mittlere Namen: __________________________________________________ Nachname: ______________________________________________________ Geschlecht:______________________________________________________ Familienstand: ___________________________________________________ Geburtsdatum: ___________________________________________ (TT-MM-YYYY) Geburtsort: ______________________________________________________ derzeitige Nationalität: _____________________________________________ vorherige Nationalität: _____________________________________________ Haarfarbe:_______________________________________________________ Augenfarbe: _____________________________________________________ Identifikationsmerkmale:____________________________________________ Größe in cm:_____________________________________________________ ANSCHRIFTEN: Adresse Privat PLZ, Stadt, Land, Staat: ________________________________ _______________________________________________________________ Telefonnummer Privat: _____________________________________________ Firmenname: ____________________________________________________ Adresse PLZ, Stadt, Land, Staat: _____________________________________ _______________________________________________________________ Telefonnummer Firma: _____________________________________________ E-Mail-Adresse: __________________________________________________ Beruf: __________________________________________________________ REISEPASS: Reisepass-Nummer:_______________________________________________ Datum der Ausstellung: ____________________________________ (TT-MM-YYYY) Ablaufdatum: ____________________________________________ (TT-MM-YYYY) Ausstellende Behörde: _____________________________________________ GRUND DER REISE: Gewünschte Visa-Art:________________________ (Business / Tourist / Transit / STR / TWP) Angaben zum Zweck der Reise:______________________________________ _______________________________________________________________ Anzahl der Einreisen: ______________________________ (Single / Multi + Anz. Einreisen) Geplante Aufenthaltsdauer: _______________________ (in Tagen inkl. Ein- & Ausreisetag) Geplantes Einreisedatum: __________________________________ (TT-MM-YYYY) Geldmittel für den Aufenthalt: ____________________________________ (In USD) 2 REFERENZ-ADRESSEN IN NIGERIA: Adresse1: _______________________________________________________ Adresse2: _______________________________________________________ Stadt: __________________________________________________________ Bundesstaat in Nigeria*: ____________________________________________ LGA (Örtliches Verwaltungsgebiet)**:__________________________________ * ** Bitte aus der Bundesstaatenlisten hierher übertragen © by VES visa-express service Stand: 16.10.2010 …………………………………… …………………………………… Ort, Datum Unterschrift Bundesstaaten mit örtlichen Verwaltungsgebieten ABIA Aba North, Aba South, Arochukwu, Bende, Ikwuano, Isiala-Ngwa North, Isiala-Ngwa South, Isuikwuato, Nneochi, Obingwa, Ohafia, Osisioma Ngwa, Ugwunagbo, Ukwa East, Ukwa West, Umuahia North, Umuahia South ADAMAWA Demsa, Fufore, Ganye, Girie, Gombi, Guyuk, Hong, Jada, Larmurde, Madagali, Maiha, Mayo-Belwa, Michika, Mubi North, Mubi South, Numan, Shelleng, Song, Teungo, Yola North, Yola South AKWA IBOM Abak, Eastern Obolo, Eket, Esit Eket, Essien Udim, Etim Ekpo, Etinan, Ibeno, Ibesikpo Asutan, Ibiono Ibom, Ika, Ikono, Ikot Abasi, Ikot Ekpene, Ini, Itu, Mbo, Mkpat Enin, Nsit Atai, Nsit Ibom, Nsit Ubium, Obot Akara, Okobo, Onna, Oron, Oruk Anam, Udung Uko, Ukanafun, Uruan, Urue Offong/Oruko, Uyo ANAMBRA Aguata, Anambra East, Anambra West, Anaocha, Awka North, Awka South, Ayamelum, Dunukofia, Ekwusigo, Idemili North, Idemili South, Ihiala, Njikoka, Nnewi North, Nnewi South, Ogbaru, Onitsha North, Onitsha South, Orumba North, Orumba South, Oyi BAUCHI Alkaleri, Bauchi, Bogoro, Damban, Darazo, Dass, Gamawa, Ganjuwa, Giade, Itas/Gadau, Jama-are, Katagum, Kirfi, Misau, Ningi, Shira, Tafawa-Balewa, Toro, Warji, Zaki BAYELSA Brass, Ekeremor, Kolokuma/Opokuma, Nembe, Ogbia, Sagbama, Southern Ijaw, Yenegoa BENUE Ado, Agatu, Apa, Bukuru, Gboko, Guma, Gwer East, Gwer West, Katsina-Ala, Konshisha, Kwande, Logo, Markurdi, Obi, Ogbadibo, Ohimini, Oju, Okpokwu, Oturkpo, Tarka, Ukum, Ushongo, Vandeikya BORNO Abadam, Askira/Uba, Bama, Bayo, Biu, Chibok, Damboa, Dikwa, Gubio, Guzamala, Gwoza, Hawul, Jere, Kaga, Kala/Balge, Konduga, Kukawa, Kwaya Kusar, Mafa, Magumeri, Maiduguri, Marte, Mobbar, Monguno, Ngala, Nganzai, Shani CROSS RIVER Abi, Akamkpa, Akpabuyo, Bakassi, Bekwarra, Biase, Boki, Calabar Municipal, Calabar South, Etung, Ikom, Obanliku, Obubra, Obudu, Odukpani, Ogoja, Yakurr, Yala DELTA Aniocha North, Aniocha South, Bomadi, Burutu, Ethiope East, Ethiope West, Ika North East, Ika South, Isoko North, Isoko South, Ndokwa East, Ndokwa West, Okpe, Oshimili North, Oshimili South, Patani, Sapele, Udu, Ughelli North, Ughelli South, Ukwuani, Uvwie, Warri North, Warri South-West, Warri South EBONYI Abakaliki, Afikpo North, Afikpo South, Ebonyi, Ezza North, Ezza South, Ikwo, Ishielu, Ivo, Izzi, Ohaozara, Ohaukwu, Onicha EDO Akoko-Edo, Egor, Esan Central, Esan North-East, Esan South-East, Esan West, Etsako Central, Etsako East, Etsako West, Igueben, Ikpoba-Okha, Oredo, Orhionmwon, Ovia North-East, Ovia South-West, Owan East, Owan West, Uhunmwonde EKITI Ado-Ekiti, Efon, Ekiti East, Ekiti South-West, Ekiti West, Emure, Gbonyin, Ido-Osi, Ijero, Ikere, Ikole, Ilejemeje, Irepodun/Ifelodun, Ise/Orun, Moba, Oye ENUGU Aninri, Awgu, Enugu East, Enugu North, Enugu South, Ezeagu, Igbo-Etiti, Igbo-Eze-North, Igbo-Eze-South, Isi-Uzo, Nkanu East, Nkanu West, Nsukka, Oji-River, Udenu, Udi, Uzo-Uwani FCT ABAJI, Municipal Area Council, BWARI, GWAGWALADA, KUJE, KWALI GOMBE Akko, Balanga, Billiri, Dukku, Funakaye, Gombe, Kaltungo, Kwami, Nafada, Shomgom, Yamaltu/Deba IMO Aboh-Mbaise, Ahiazu-Mbaise, Ehime -Mbano, Ezinihitte, Ideato North, Ideato South, Ihitte/Uboma, Ikeduru, Isiala Mbano, Isu, Mbatoli, Ngor-Okpala, Njaba, Nkwerre, Nwangele, Obowo, Oguta, Ohaji/Egbema, Okigwe, Onuimo, Orlu, Ikeja/Musin/Oshodi- Isolo/Ifako-Ijaiye/Agege/Alimos, Oru East, Oru West, Owerri Municipal, Owerri North, Owerri West JIGAWA Auyo, Babura, Birnin Kudu, Biriniwa, Buji, Dutse, Gagarawa, Garki, Gumel, Guri, Gwaram, Gwiwa, Hadejia, Jahun, Kafin Hausa, Kaugama, Kazaure, Kiri Kasama, Kiyawa, Maigatari, Malam Maduri, Miga, Ringim, Roni, Sule Tankakar, Taura, Yankwashi KADUNA Birnin Gwari, Chikun, Giwa, Gwagwada, Igabi, Ikara, Jaba, Jema-a, Kachia, Kaduna North, Kaduna South, Kagarko, Kaura, Kauru, Kuban, Kudan, Lere, Makarfi, Sabon Gari, Sanga, Soba, Zangon Kataf, Zaria KANO Ajingi, Albasu, Bagwai, Bebeji, Bichi, Bunkure, Dala, Dambatta, Dawakin Kudu, Dawakin Tofa, Doguwa, Fagge, Gabasawa, Garin Mallam, Garko, Gaya, Gezawa, Gwale, Gwarzo, Kabo, Karaye, Kibiya, Kiru, Kumbotso, Kunchi, Kura, Madobi, Makoda, Minjibir, Kano Municipal, Nasarawa, Rano, Rimin Gado, Rogo, Shanono, Sumaila, Takai, Tarauni, Tofa, Tsanyawa, Tudun Wada, Ungongo, Warawa, Wudil KATSINA Bakori, Batagarawa, Batsari, Baure, Bindawa, Charanchi, Dandume, Danja, Dan Musa, Daura, Dutsi, Dutsin Ma, Faskari, Funtua, Ingawa, Jibia, Kafur, Kaita, Kankara, Kankia, Katsina, Kurfi, Kusada, Mai-Adua, Malumfashi, Mani, Mashi, Matazu, Musawa, Rimi, Sabuwa, Safana, Sandamu, Zango KEBBI Aleiro, Arewa Dandi, Lagos Island/Mainland/Eti-osa/Apapa/Surulere, Lagos Island/Mainland/Eti-osa/Apapa/Surulere/Lagos, Bagudo, Birnin Kebbi, Bunza, Dandi, Danko Wasagu, Fakai, Gwandu, Jega, Kalgo, Koko/Besse, Maiyama, Ngaski, Sakaba, Shanga, Suru, Yauri, Zuru KOGI Adavi, Ajaokuta, Ankpa, Bassa, Dekina, Ibaji, Idah, Igalamela-Odolu, Ijumu, Kabba/Bunu, Kogi, Lokoja, Mopa-Muro, Ofu, Ogori/Magongo, Okehi, Okene, Olamaboro, Omala, Yagba East, Yagba West KWARA Asa, Baruten, Edu, Ekiti, Ifelodun, Ilorin South, Ilorin West, Ilorin East, Irepodun, Isin, Kaiama, Moro, Offa, Oke Ero, Oyun, Pategi LAGOS Agege, Ajeromi/Ifelodun, Alimosho, Amuwo Odofin, Apapa, Badagry, Epe, Eti Osa, Ibeju Lekki, Ifako/Ijaye, Ikeja, Ikorodu, Kosofe, Lagos Island, Lagos Mainland, Mushin, Ojo, Oshodi/Isolo, Shomolu, Surulere NASARAWA Akwanga, Awe, Doma, Karu, Keana, Keffi, Kokona, Lafia, Nassarawa, Nassarawa Egon, Obi, Toto, Wamba NIGER Agaie, Agwara, Bida, Borgu, Bosso, Edati, Gbako, Gurara, Katcha, Kontagora, Lapai, Lavun, Magama, Mariga, Mashegu, Minna/ Chanchaga, Mokwa, Muya, Paikoro, Rafi, Rijau, Shiroro, Suleja, Tafa, Wushishi OGUN Abeokuta North, Abeokuta South, Ado Odo/Ota, Egbado North, Egbado South, Ewekoro, Ifo, Ijebu East, Ijebu North, Ijebu North East, Ijebu ode, Ikenne, Imeko Afon, Ipokia, Obafemi Owode, Odeda, Odogbolu, Ogun waterside, Remo North, Shagamu ONDO Akoko North East, Akoko North West, Akoko South West, Akoko South East, Akure North, Akure South, Ese Odo, Idanre, Ifedore, Ilaje, Irele, Odigbo, Ile Oluji/ Okeigbo, Okitipupa, Ondo East, Ondo West, Ose, Owo OSUN Atakunmosa East, Atakunmosa West, Ayedade, Ayedire, Boluwaduro, Boripe, Ede South, Ede North, Egbedore, Ejigbo, Ife Central, Ife East, Ife North, Ife South, Ifedayo, Ifelodun, Ila, Ilesha East, Ilesha West, Irepodun, Irewole, Isokan, Iwo, Obokun, Odo Otin, Ola oluwa, Olorunda, Oriade, Orolu, Osogbo OYO Afijio, Akinyele, Atiba, Atisbo, Egbeda, Ibadan North, Ibadan North East, Ibadan North West, Ibadan South East, Ibadan South