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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

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