Appointment Form

Complete this form to schedule an appointment at your desired NIRA office.

Contact Information
What's your surname
Any other name as on your birth certificate
Also commonly known as 'First Name'
What's the name of your district of origin?
We can contact you over phone
An email confirmation will be sent to you
Appointment Details
We will show you the next available date when you select a NIRA office
Please choose a time between 9:00 AM and 4:00 PM