In Case of Land Held by A District Land Board

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Regulation 16

THE REPUBLIC OF UGANDA


THE LAND ACT, CAP 227

THE LAND REGULATIONS, 2004


Form 8
APPLICATION FOR A LEASEHOLD
(In case of land held by a district land board)

PART I: (To be filled by the applicant in triplicate)

1. Full Name Sex Nationality Marital Status


(Surname first) (M/F)
(i) BUGANDA LAND BOARD ……….... UGANDAN ...................
(ii) ..............………………...... .......... ................... ...................…...
(iii) ................……………….... .......... ................... ..................…....
(iv) ..............………………...... .......... ................... ...................…...
(v) ................……………….... .......... ................... ...................…...
(Add as necessary)

2. Address
(i) Permanent 1st Floor Massengere Building
P.o Box 14205
Bulange, Mengo, Kampala

(ii) Contact 0312263741


0414274891
...............................................................
3. Location of land the subject of application:
a).Village/Zone …………………………………………
b). Parish/Ward ………………………………………….
c). Sub-county/Division ……………………………….
d). County/Municipality ………………………………..
e). District Rakai

4. Approximate area (ha) 1.589 Hects

5. Use or occupation of land (e.g. farming, housing, dwelling house)


……..Sports………………
6. Name of owners of adjacent land
…………………………………………… ……………………………………….
…………………………………………… ……………………………………….
…………………………………………… ……………………………………….

7. (a) Do you want to hold the land as a family? YES/NO


(b) Do you want to hold the land as a community? YES/NO
If yes, state shares (fractions or percentages) …………………….
(c) Do you want to hold the land as individuals? YES
(d) We wish to hold the land as joint tenants/ tenants in common.
( Delete whichever is inapplicable)
Name and Signature/Thumbprint of applicant(s)
.....................………………….................... ..................…………………….
.......................................………………….. ..................…………………….
.......................................………………….. ..................…………………….

Date of application .................................................

PART II: (For official use only)

A. Remarks and recommendations of area land committee

………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………..…..
Name and signature of committee members
…….……………………………….………….. …………………………….
………….…………………………….……….. …………………………….
……………….………………………….…….. …………………………….
……………….………………………….…….. …………………………….
………………………………………………… …………………………….

Date …………………………..

B. Decision of district land board

i. The application is *approved/rejected/deferred


ii) The application is approved upon the following terms and conditions
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………

iii) The application is not approved due to the following reasons


………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Minute number ..............................................

OFFICIAL SEAL

…………………………………………
…………………………………………
Name and signature Name and signature
Secretary district land board Chairperson district land board

Date ........................................ Date ………………………………..


* The board shall send a copy of this form to the office of titles for issuance of a
certificate.

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