Form LRA 9 GENERAL APPLICATION FOR REGISTRATION

Form LRA 10 (r.
23(2))
Date received Presentation Book Official fees paid Receipt No. …..…20…....
No:...............….... Shs. ……………. …………………
.....................................................................................................................................
REPUBLIC OF KENYA
THE LAND REGISTRATION ACT
THE LAND REGISTRATION (GENERAL) REGULATIONS, 2017
APPLICATION TO BE NOTED IN THE REGISTER AS A SPOUSE
TITLE NO: ………………………………….

Date of Application
Registered Proprietor
Name of Applicant
Address for Service of

Applicant (Note that the
address(es) will be entered in
the register and used for
correspondence and the
service of notice):
Email of Applicant
Telephone Number of
Applicant
1. The Applicant as a spouse of the registered proprietor HEREBY APPLIES to be noted in the register as a spouse.
2. In support of this Application the Applicant has attached a statutory declaration and supporting documents.
Dated this …………………………… day of …………………………………….20…….
Note: If you dishonestly enter information or make a statement that you know is, or might be,
untrue or misleading, and intend by doing so to make a gain for yourself or another person, or
to cause loss or the risk of loss to another person, you may commit the offence of fraud.
EXECUTION:
SIGNED by the Applicant in the presence of:-
Coloured
Photograph
ID/No……………………………………………..
PIN No…………………………..........................
Signature……………………………………….
Certificate of Verification under Section 45 of the Land Registration Act
I CERTIFY that the above-named ………………………………….. appeared before me on the

………………….……….. day of ……..………………….20……….and being known to me/being
identified by*…………………………………..…………………….. of …………………………
acknowledge the above signatures or marks to be his/hers and that he/she had freely and voluntarily
executed this instrument and understood its contents.
………………………………………………
Signature and Designation of
Person Certifying**
LAND REGISTRAR
Name:
Signature:
(P.T.O)
STATUTORY DECLARATION
STATUTORY AND GENERAL APPLICATIONS ACT
I,…………………………………………….. (in support of this Application) do hereby sincerely declare as follows:-

1. THAT I am the spouse of the ………………………………the registered proprietor by virtue of the following:
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………
……….......................................................................................................................... .................
2. I attach the following supporting documents:
(a) A duly certified copy of a marriage certificate dated [] under the .................................................;
(b) ………………………………..;
(c) A copy of the search report in respect of the property.
I make this declaration conscientiously believing the same to be true and according to the Oaths and Statutory
Declaration Act.
DECLARED before me at
…………………………………………………
on the ………………….day of………………………………………20…
……………….…………….
……………………………………………..
Signature of Commissioner for Oaths
or Magistrate or Notary Public
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Form LRA 10 (r.

THE LAND REGISTRATION ACT

THE LAND REGISTRATION (GENERAL) REGULATIONS, 2017

APPLICATION TO BE NOTED IN THE REGISTER AS A SPOUSE

TITLE NO: ………………………………….

Address for Service of

Dated this …………………………… day of …………………………………….20…….

SIGNED by the Applicant in the presence of:-

Certificate of Verification under Section 45 of the Land Registration Act

I CERTIFY that the above-named ………………………………….. appeared before me on the

I,…………………………………………….. (in support of this Application) do hereby sincerely declare as follows:-

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