Edition April 2019

FORM 25

APPLICATION FORM FOR SPORADIC LAND REGISTRATION

Person information
I/We:………………………………………………………………………………………………………………..
Status: ……………………………………………………………………………………………………………..
ID/Passport: ……………………………………………………………………………………………………….
Address:……………..…District……....……………Sector…………….....….Cell……….……......…Village
Telephone number: ……………………………… E-mail: ………………………………………………….....
OR
Company/NGO/Professional association/Church/Cooperative/Other:…………………………………….
………………………………………………………………………………………………………………………I
(authorised representative): ………………………………………………………………………………….
ID/Passport:……………………………………………………………………………………………………….
Address:………………..…District……....……………Sector…………….....…Cell……..……......…Village
Telephone number: ……………………………… E-mail: ………………………………………………….....

Kindly request for sporadic registration

Parcel information
UPI: ………………………………………..
City of Kigali/Province: ………………………………………..
District: ………………………………………..
Sector: ……………………………………….
Cell: ……………………………………….

Motivation for the request …………………………………………………………………………………….

………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………

Required documents for the transaction

Proof of identity
Civil status certificate
Proof of land acquisition signed by Cell land committee and approved by Cell Executive Secretary and
Sector Executive Secretary where that land is located
UPI confirmation sheet if UPI is known
If UPI is not known: Approved Deed Plan and a Survey report signed by the owner of the parcel, owners
of neighbouring parcels and land surveyor
Notarised Memorandum of Association indicating shares of every shareholder, in case among persons
to be registered there are foreigners and Rwandans co-owning land or a business company, an
organisation or association with legal personality in which foreigners are shareholders

…………………………….. …………………………………………………
Date of application Signature of the applicant(s)

Received and verified by: …………………………..............................................................

Function: ....................................................................................

Date.......................................................................

Signature................................................................. Stamp