(A) Application Form For Transfer Rights Voluntary Sale - Kinya

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V.

05 Edition January 2023

IFISHI 11.a
IFISHI ISABA IHEREREKANYA RY’UBURENGANZIRA KU BUTAKA
RISHINGIYE KU BUGURE

Umwirondoro
Njyewe/Twebwe (uwagurishije): ...………...…………………………………………………………………………………...........
Indangamuntu/Pasiporo: …………………..………………………………………………………………………………………..........
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………...............Telefoni : …………………………………... E-mail: ……………………………….........
Numero ya telefoni y’uwaguze/abaguze:..............................................................................

Ndasaba gukora ihererekanya ry’uburenganzira k’ubutaka rishingiye ku bugure

Amakuru ku kibanza/Isambu
Nimero y'ikibanza/isambu (UPI): …………………………....................................
Umujyi wa Kigali/Intara: ………………………………………..................
Akarere: …………………………………………………...
Umurenge: …………………………………….……………..
Akagari: …………………………………….……………..
Umugabane ugurishwa: ...................%

Ibisobanuro k'ubusabe………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................

Ibisabwa
Kopi y’ibiranga uwaguze/abaguze
Icyemezo cy’irangamimerere cy’uwaguze/ugurisha (N.B: Abashoramari babifitiye icyemezo ndetse
n’abanyamahanga baguze ubutaka bifuza ihererekanya ntibarebwa n’ibi)
Amasezerano y’ihererekanya ry’uburenganzira ku butaka yakorewe imbere ya noteri mu
by’ubutaka ariho imikono y’impande zombi
Ibyangombwa by’ubutaka1 bwagurishijwe

Ahagenewe gusaba guhuza imikoreshereze y’ubutaka n’igishushanyo mbonera

Ndasaba ko icyo ubutaka bwagenewe gukoreshwa gihuzwa n’igishushanyo mbonera


cy’imikoreshereze y’ubutaka ( uzuza ahabugenewe)

…………………………….. …………………………………………………………………………
Itariki y'ubusabe Umukono w'usaba (w'abasaba)

Byakiriwe kandi bisuzumwa na: ………………………………...................................................................................................

Icyo ashinzwe:……………………………………………………………………………………………………………………………..................................

Itariki: ………………………………………………………
Kashe
Umukono: …………………………………………………

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Ibi bireba ibyangombwa byatanzwe mbere y’itariki ya 09 Mutarama 2023.

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