New Address

Text
1/6

Personal Information

20%

Please ensure you fill all field correctly.

2/6

Contact Information

30%

Please ensure you fill all field correctly.

Address

40%

Please ensure you fill all field correctly.

Length of Residency

55%

How long have you resided at this location?
e.g. 2 Months, 2 Years

Witnesses

65%

Please provide the names and contact of 2 witnesses who can attest to your residency at this location.

A witness can be anyone, other than the affiant's spouse, who has known the affiant for at least a period of time, such as 6 weeks. The witness must also be a resident of the same state as the affiant.

Verification

Choose filesor drag and drop files here
Choose filesor drag and drop files here
Choose filesor drag and drop files here
100%

Please provide valid means of identification and a proof of residence

*Valid Identification (JPG | PNG | PDF): Passport, Voters Card, Driver's License*Proof of Residence (JPG | PNG | PDF): Bank Statement, Utility Bill, Lease etc

Summary

Surname

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Other Names

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Date of Birth

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Sex

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State of Origin

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Local Government Area

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Home Town

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Occupation

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Phone Number

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Alternate Phone Number

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E-Mail Address

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Building Type

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House/Plot/Flat

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Street

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State

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City

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Zip Code

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Logitude

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Latitude

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Duration of Stay

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First Witness Full Name

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First Witness Relationship

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First Witness Phone Number

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Second Witness Full Name

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Second Witness Relationship

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Second Witness Phone Number

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Valid Identification

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Proof of Residence

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Photo Image

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