Edition May 2018 FORM 24

INYANDIKO ISABA IBYANGOMBWA BY’UBUTAKA BISIMBURA

IBYATAKAYE, IBYANGIRITSE, IBYAHIYE CYANGWA IBYATWAWE N’IBIZA
Umwirondoro
Njyewe/Twebwe: .....…………………………………………………………………………………………………………………
Irangamimerere: …………………………….…………………………………………………………………................................
Indangamuntu/Pasiporo: …………………..……………………………………………………………………………………….........
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………................Telefoni : ………………………………………... E-mail: ……................……………...
Cyangwa
Isosiyete/ONG/Ishyirahamwe ry’umwuga/Idini/Koperative/Ibindi………………………………………………….
Njyewe (Uhagarariye mu buryo bwemewe n'amategeko):………………………………….............................................
Indangamuntu/Pasiporo: ……......……………………………………………………………………………………………………….
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………................Telefoni : ………………………………………... E-mail: ……................……………...
Ndasaba ibyangombwa by’ubutaka bisimbura ibyatakaye/ibyangiritse/ibyahiye /ibyatwawe
n’ibiza (siba ibitari ngombwa)
Amakuru ku kibanza/Isambu
Nimero y'ikibanza/isambu (UPI): …………………………..................................
Umujyi wa Kigali/Intara: ………………………………………................
Akarere: …………………………………………………...
Umurenge: …………………………………….……………..
Akagari: …………………………………….……………..
Ibisobanuro k'ubusabe………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
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Ibisabwa
Kopi y’ibiranga nyir’ubutaka
 Iyo ibyangombwa by'ubutaka1 byatakaye:
- Indahiro (affidavit) yakorewe imbere ya noteri w’ubutaka w’aho ubutaka buherereye
yashyizweho umukono n’abanditse ku butaka bose
- Ikimenyetso kigaragaza ko hashize nibura ibyumweru bibiri atanze itangazo ryo
kubirangisha kuri imwe mu maradiyo yumvwa cyane mu Rwanda cyangwa muri kimwe mu
binyamakuru bisomwa cyane mu Rwanda
 Iyo ibyangombwa by'ubutaka byangiritse ku buryo bibasha kugaragazwa: Umwimerere
w'ibyangombwa by'ubutaka byangiritse
 Iyo ibyangombwa by'ubutaka byangiritse ku buryo bitabasha kugaragazwa: Indahiro (affidavit)
yakorewe imbere ya noteri w’ubutaka w’aho ubutaka buherereye yashyizweho umukono
n’abanditse ku butaka bose
 Iyo ibyangombwa by'ubutaka byahiye cyangwa byatwawe n’ibiza: Indahiro (affidavit) yakorewe
imbere ya noteri w’ubutaka w’aho ubutaka buherereye yashyizweho umukono n’abanditse ku
butaka bose igakorwa hashingiwe ku cyemezo cy’Umunyamabanga nshingwabikorwa w’Akagari
k’aho usaba atuye
…………………………….. ………………………………………………………………………………
Itariki y’ubusabe Umukono w’ukoze (abakoze) ubusabe
Byakiriwe kandi bisuzumwa na: ……………………………….............................................................

Itariki: ………………………………………………………
Kashe
Umukono: …………………………………………………
1
Bitewe n’imitungire y’ubutaka, ibyangombwa by’ubutaka bishobora kuba kimwe muri ibi bikurikira:
 Amasezerano y’ubukode burambye, icyemezo cy’iyandikisha ry’ubukode bw’igihe kirekire n’ igishushanyo cyerekana ingano y’ubutaka
 Icyemezo cy’inkondabutaka
 Icyemezo cy’Iyandikisha ry’Impapurompamo ngenankomyi,
 Icyemezo cy’iyandikisha ry’ibice by’isangiramutungo ku nyubako