1 Personal Information

Family Name *
First Name *
Middle Name
Passport Number *
Confirm Passport Number *
Select Nationality *
Email *
Confirm Email Address *
Kindly ensure your email address is correct as your QR Code will be sent there
Phone Number to reach you on *
Note: Only 11-digit Nigerian phone number is acceptable e.g 08022233355 (Personal, hotel, agent or relative)
Alternative Phone Number
Note: Only 11-digit Nigerian phone number is acceptable (Personal, hotel, agent or relative)
E.g., 10 Aug 2022
Date of Birth *
Flight No *
Arrival Location *
E.g., 10 Aug 2022
Arrival Date *
Country of First Departure *
Country of Transit
Country of Residence *
Residential Address *
Upload your passport data page CLEARLY showing your Date of Birth and Diplomatic status (if Diplomat)*
False claims may lead to arrest and prosecution in court
Files must be less than 5 MB.
Allowed file types: jpg jpeg png.

2 Countries Visited in the Last 21 Days

Countries Visited In The Last 21 Days * Click the field above and select one or more countries

3 Enter 1 or more Destinations in Nigeria (For The Next 21 Days)

Enter address *
Phone Number *
State in Nigeria *
City *

4 Emergency Contact in Nigeria or Next of kin

Contact Details
Full Name *
Address *
Phone Number * Note: Only 11-digit Nigerian phone number is acceptable and must be different from Main Phone Number supplied earlier

5 In the last 21 days did you have any of the following

Please tick Yes or No

6 In The Last 21 Days Have You Had Contact With Anyone Who Had The Following?

Please tick Yes or No

7 Have You Taken Any of The Following Medications In The Last 24 Hours?

Please tick Yes or No

8 COVID 19 Test

Select Vaccination status *
As applicable, presentation of proof of vaccination must be done on arrival
Upload your proof of vaccination CLEARLY showing your Vaccination Status*
False claims bring on consequences of lying to Immigration
Files must be less than 5 MB.
Allowed file types: jpg jpeg png pdf.

Pre-Boarding COVID Test DetailsNote: You are required to provide details of a COVID test taken at least 48 hours prior to departure and take a subsequent day 2 and day 7 test depending on your proven vaccination status

Select Test Result *
E.g., 10 Aug 2022
Test Date *
Test Lab Name *
Test Lab Address *
Test Lab Phone Number *
Test Country *
Test Institution City *
Upload Result PDF *
Files must be less than 10 MB.
Allowed file types: pdf jpg jpeg png.

Post-Arrival COVID Test Details

Note: Select a laboratory or sample collection center that is nearest to where you will be observing the 7 days self isolation (if not fully vaccinated) to ease your process of carrying out the mandatory test(s).

Unvaccinated & Partially Vaccinated people would have to pay and do 2 tests, for Day 2 and Day 7
Where Will You Be On Day 2 *
Select preferred test center *
Select Mode of Payment *
IMPORTANT: Bank Transfer option is NOT AVAILABLE for those that selected Lagos above
Select Preferred Payment Currency *
Please Note:
The following are mandatory on the bearer:
(a) Fully vaccinated passengers:
  • Post arrival test not required

(b) Unvaccinated or partially vaccinated passengers:

  • To self isolate for 7 days
  • To take repeat tests on days 2 and 7 post arrival.

Failure to comply with the above will lead to suspension of passport for 6 months or cancellation of visa for non-Nigerians.

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