Request Form
Date:
Reference:
Permit Type: Overflight   Landing
Aircraft Call:
Operator & Nationality:
Purpose of Flight:
Port of Flight:
Port of Departure:
Port of Destination:
Routes:
Maximum Take-off Weight:
Date of Arrival:
Date of Departure:
Point of
(a) Entry into the Nigeria Airspace
(b) Exit from the Nigeria Airspace
Name and Nationality of:
(a) Pilot-in-Command
(b) Co-pilot
(c) Other Crew Member
Nature of Cargo and Brief Description:
(a) Pilot-in-Command
(b) Cosigner
(c) Shipper
Purpose of Flight:

If Ambulance Flight please provide:

Details of Name(s) of patient(s)
Names of Doctor(s)
Names of Nurse(s)
Address in Nigeria
Billing Address for Navigational Charges:
Telephone Number:
Fax Number:
E-Mail:
   

 
 
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NIGERIAN ADDRESS - LAGOS
OBJ INVESTMENT LIMITED
# 18 Oremeji Street, Off Medical Rd.
P.O. Box 15640, Ikeja Lagos.
E-Mail: los@overflightnigeria.comU

ADDRESS - HOUSTON TEXAS
OBJ GROUP, INC.
8303 S. West Fwy, Suite 210
Houston, Texas 77074 USA.
E-mail: info@overflightnigeria.com

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