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THE LAND REGISTRATION ACT (CAP.

334) APPLICATION FOR CHANGE OF SIGNATURE

C.T. NO.84914 L.O. NO. 351433 PLOT NO. 2046 BLOCK B KIMARA BARUTI AREA DAR ES SALAAM

I, VALERIAN BUCHADI RWEBANDIZA, of P.O. Box 68715, DAR ES SALAAM, HEREBY applies for the change of signature in the land register. I solemnly and sincerely declare as follows;1. That I am the owner of the above mentioned Certificate of Title which is registered in the name VALERIAN BUCHADI RWEBANDIZA, of P.O. Box 68715, DAR ES SALAAM. Attached herewith marked VBR-1 is a copy of the said Certificate of Title.

2. That I had signed on the Certificate of Title in 2009 and since then I had not been commonly using the said signature and hence I cannot reproduce it.

3. That also further to your letter dated 16th December 2010 with Ref. No. LR/T/84914/14 and due to the above reason I hereby apply to change the former signature and replace it with a new one. 4. That all what is stated herein above is true to the best of my own knowledge. That I make this solemn declaration conscientiously believing the same to be true and in accordance with the provisions of the Oaths (Judicial Proceedings) and Statutory Declaration Act, 1966.

SWORN at Dar es Salaam by the said , VALERIAN BUCHADI RWEBANDIZA who is identified to me by the latter being known to me personally, in my presence, this.day of.2010 BEFORE ME:

DEPONENT

COMMISSIONER FOR OATH

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