New Registration - NIN Enrolment | Powered By Connexxion Telecom

A. What Are Your Names?

Title

Last Name

First Name

Other Names

Maiden Names

B. Have You Changed Your Name Before?

Select if you have changed your name before

Previous Surname

Previous First Name

Previous Middle Name

C. Are You Homeless?

Select if you are homeless

Town/City of Residence

Country of Residence

State of Residence

LGA of Residence

Address of Residence

D. When and Where Were You Born?

Date of Birth

Date of Birth Verification

Place of Birth - Country

Place of Birth - State

Place of Birth - LGA

E. Where Are You From?

Place of Origin - Country

Place of Origin - State

Place of Origin - LGA

Place of Origin - Town

F. Where Is Your Father From?

Place of Origin - Country

Place of Origin - State

Place of Origin - LGA

Place of Origin - Town

G. Where Is Your Mother From?

Place of Origin - Country

Place of Origin - State

Place of Origin - LGA

Place of Origin - Town:

H. Your Physical Features

Gender

Tribal Mark

Hair Color

Hunch Back

Height

Visible Scars

Others

Residence Status

Nationality

I. Any Physical Challenges?

Select all that apply

Others

J. About The Card

Card Type

Issuing Bank

K. Your National Identification Number (For applicants personal data update only)

National Identification Number (NIN)

L. Your Supporting Documents

Any Identity Reference

Document Number

Document Expiry Date

Immigration Document

Document Number

Document Expiry Date

National Insurance

Document Number

Document Expiry Date

Nigeria Driver Licence

Document Number

Document Expiry Date

Nigerian Passport

Document Number

Document Expiry Date

Other Passport

Document Number

Document Expiry Date

M. Your Other Details

Marital Status

Main Native Language Spoken

Language You Read And Write

Other Languages Spoken:

Education Level

Religion

Occupation

Telephone

Employment status

Home Delivery of the Card

Email Address

N. Details Of Your Parents

Father's Surname

Father's First Name

Father's Middle Name

Father's NIN (If available)

Mother's Surname

Mother's First Name

Mother's Middle Name

Mother's NIN (If available)

O. Guardian Details

Surname

First Name

Middle Name

National Identification Number

P. Your Next Of Kin Details

Surname of Next of Kin

First Name of Next of Kin

Middle Name of Next of Kin

Relationship with Next of Kin

Q. Address of Your Next Of Kin

Country

State

LGA

Town/City of Residence

Street Address

Next of Kin's NIN

R. Capture Details

Preferred Capture Date

Preferred Capture Location

Preferred Capture Time

Preferred Payment Type

Coupon

S. Declaration And Attestation

I certify that the information provided by me on this form is complete, true and accurate. I understand that the information provided by me on this form and my biometrics shall constitute my personal information/data to be entered into the National Identity Database. I consent to sharing of my data provided herein with any organization permitted by the NIMC Act 23 of 2007 and within the Nigerian Law. I hereby apply for a National Identification Number (NIN) and a National Identity (Smart) Card. I accept that this form may be scanned, saved and discarded after use as the Commission may deem fit. I understand and accept that if any information I have provided herein is not correct or is false, the Commission reserves the right of prosecution if discovered.

National Identification Number (NIN) Enrolment Form

Step 1

A. What Are Your Names?

B. Have You Changed Your Name Before?

C. Are You Homeless?

Step 2

D. When and Where Were You Born?

E. Where Are You From?

F. Where Is Your Father From?

G. Where Is Your Mother From?

Step 3

H. Your Physical Features

I. Any Physical Challenges?

J. About The Card

K. Your National Identification Number (For applicants personal data update only)

Step 4

L. Your Supporting Documents

Any Identity Reference

Immigration Document

National Insurance

Nigeria Driver Licence

Nigerian Passport

Other Designation Document

Other National Identity Document

Other Passport

Other Travel Document

Step 5

M. Your Other Details

Step 6

N. Details Of Your Parents

O. Guardian Details

P. Your Next Of Kin Details

Q. Address of Your Next Of Kin

Step 7

R. Capture Details

S. Declaration And Attestation

National Identification Number (NIN) Enrolment Form

Step 1

A. What Are Your Names?

B. Have You Changed Your Name Before?

C. Are You Homeless?

Step 2

D. When and Where Were You Born?

E. Where Are You From?

F. Where Is Your Father From?

G. Where Is Your Mother From?

Step 3

H. Your Physical Features

I. Any Physical Challenges?

J. About The Card

K. Your National Identification Number (For applicants personal data update only)

Step 4

L. Your Supporting Documents

Any Identity Reference

Immigration Document

National Insurance

Nigeria Driver Licence

Nigerian Passport

Other Designation Document

Other National Identity Document

Other Passport

Other Travel Document

Step 5

M. Your Other Details

Step 6

N. Details Of Your Parents

O. Guardian Details

P. Your Next Of Kin Details

Q. Address of Your Next Of Kin

Step 7

R. Capture Details

S. Declaration And Attestation

Welcome to NIN Fast Track