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Afrinexa Global · Visa Concierge
Visa Application Form
Complete the form below to begin your application. A senior concierge will reach out within 24 hours. The ₦10,000 application form fee is non-refundable — please read the disclaimer carefully.

AFRINEXA GLOBAL
TRADE · TRAVEL · THRIVE
REFERENCE
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DATE
2026-07-12
Visa Application Form
CONFIDENTIAL · FOR AFRINEXA GLOBAL CONCIERGE USE
01 · Personal Details
Full Name
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Date of Birth
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Gender
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Nationality
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Marital Status
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Passport Number
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Passport Expiry
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02 · Contact Information
Email
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Phone
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Residential Address
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City
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Country of Residence
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03 · Travel Details
Destination Country
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Visa Type
Tourist / Visit
Intended Arrival
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Duration of Stay
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Purpose of Visit
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Previous Travel
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04 · Employment & Sponsor
Occupation
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Employer / School
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Sponsor
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05 · Disclaimer & Acknowledgement
By submitting a visa application through Afrinexa Global, the applicant acknowledges and agrees to the following:
- No Guarantee of Visa Approval. Afrinexa Global provides visa consultation and application support services only. The decision to approve or refuse a visa rests solely with the relevant embassy, consulate or immigration authority.
- Visa Refusal. Afrinexa Global shall not be held liable for any visa refusal, delay, or additional requirements imposed by the issuing authority.
- Non-Refundable Application Form Fee. The ₦10,000 (Ten Thousand Naira) Visa Application Form Fee is strictly non-refundable. This fee covers administrative processing, consultation and document assessment services and is payable regardless of the outcome of the visa application.
- Applicant's Responsibility. Applicants are responsible for providing complete, accurate and genuine information and supporting documents. Any refusal resulting from false, incomplete or misleading information remains the applicant's responsibility.
- Acceptance. By signing this form or making payment, the applicant confirms that they have read, understood and accepted these terms and conditions.
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Applicant's Signature
2026-07-12
Date
Afrinexa Global · Trade · Travel · ThriveNigeria · USA · Thailandcontact@afrinexaglobal.org
