EAST AFRICAN COMMUNITY
THE UNITED REPUBLIC OF TANZANIA
ENTRY / ARRIVAL DECLARATION FORM | FOMU YA KUINGIA | FORM D'ENTRE
(Immigration Regulations 1997)
Pleaso Complete in Capital Letters/Tafadhali Jaza kwa Herufi Kubwa
‘Completez en majuscule s'iivous plait
Sumame/Jina ta ukoo/Nom de Familie
Other names/Majina mengine/Prenoms
Date of birth/Tarehe ya kuzaliwa/Date Naissance
Place of birth/Mahali pa kuzaliwa/Lieu de Naissance
Gendet/Sex/Jinsia: Male/Mme/Masculin Female/MkelFeminin oO!
Nationality/Utaifa/Nationalite. ..
Country of current residence/Nchi unamoishiiPays dat ———
Occupation/Kazi/Profession
Passport No./Nambari ya Pasi/Numero de Passeport ...
Date of issue of passporTarehe ya kutolewa/Date de deliverance .
Place of issue of passport/Mahali ilipotolewa/Place de delivrace ..
Date of expiry/Tarehe ya mwisho!
Physical address in Tanzania /Anwani nchini Tanzania/Addresse en Tanzanie
|) Tel No/Nambali ya Simu/Numero du Telephone:
ii) Hotel (Hoteli/L'Hotel) ..... .. Place/Mahali .
iii) Contact Person or Iatoontwenye wako ama Asasi/ Institution |
Purpose of travel/visit /(Fill from overleaf 1, 2, ... 9 as appropriate) /
Sababu ya kuingia/(Angalia ukurasa wa nyuma 1, 2,... 9 kama ifaavyo)
/Object de votresejour/duree (voir au verso 1, 2, ...9) cers...
Any other (specify) /Sababu nyingine/Autres specifies ..........
FlightVessel No./Nambari ya chombo/No de vol .....
Mode of travel/Namna ya usafiri/Moyen de transport:
AiiNdege/Avion [) Water/Maji/Meritime[_] Rail/RetvTrain (_] Road/Barabara/Route o
Date/Tarehe/Date ..... Signature/Saini/Signature ..
Website/Tovuti: www.immigration. go. tz
‘Welcome toTanzania, the Land of Mount Kilimanjaro and Zanzibar