Nigeria High Commission - Canberra

Nigerian Citizen Registration

Registration Form for Nigerians in Australia.
Fields marked with an asterisk (*) are required.
Personal Details
First Name *
Please provide your first name.
Last Name *
Please provide your lastname
Date of Birth *
Please provide your date of birth
Occupation *
Please provide your Occupation
E-mail *
Invalid email address.
Phone *
Invalid Phone Number
Choose a Username *
Please provide your Username
Password *
Please provide your Password
   

Nigerian Address
Nigerian Address *
Please provide your address in Nigeria
Town *
Please provide your Town
State *
Please select your ethnic group.
{State of Origin:caption} * {State of Origin:body}
{State of Origin:validation}		 {State of Origin:description}
Nigerian Citizenship Status *
Please select your Citizenship Status
   

Australia/New Zealand/Fiji/PNG/Vanuatu Address
House Number *
Please provide your House Number.
Street Address *
Please provide your Street Address
Suburb *
Please provide your Suburb.
State/Territory/Province *
Please provide your Suburb.
Postcode *
Please provide your Postcode.
Country *
Please select Country from the drop down list.
Home Phone
Invalid Phone Number
Fax
Invalid fax number.
   

Residency Status
Residency Status *
Please select your Australian Residency Status.
Visa Type *
Please select your Australian Visa type
Date of Arrival *
Please select the date you arrived into Australia
   

Identification
Please prpovide us with a valid form of ID either Nigerian ID or IDs from Australia/New Zealand/Fiji/PNG/Vanuatu
Type od ID *
Please select your form of ID
ID Number *
Please provide a valid ID Number
Date of Issue *
Please select the date of issue for your ID
Expiry Date *
Please select the expiry date for your ID
Country of Issue *
Please select the country of issue for your ID
Type the Code shown Type the Code shown
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Please input the Code displayed above.
By clicking Submit you acknowledge that the information you provided is true to the best of your knowledge and would not be misleading in any form.