Forul 1 REPUBLIG OF KENYA THE LAND GONTROL AG (Cap. 302) APPLICATION FOR CONSENT OF LAND CONTROL BOARD ae ee ee ne of each transaction and sent to-or left at the appropriate office of the Commissioner of Lands ‘Tot Tas: ‘Lan CONTROL BOARD, BORG: creme T HEREBY 2p 1y"t0 12 enemnnen inate nner teen Land Control Board for its consent to the’ transaction described below, and give the following information: 1. (@ Present registered holder of fnterest full name in BLOCK LETTERS): (6) Nationality {c) Address 2, (a)Proposed purchaser, transferee, mortgagee, chargec, allottee, etc. (full name m BLOCK, LETTERS;) 1b) Ti_a tmited Hability company, names of directors, authorized and fesned share capital and pal shareholders; 1i a co-operanve Pames socreeey 20k society, of chairman, treasurer and tora) aumber of members— ee i a ee (@) Address... 3. pegs (3, sale, gift, lease, mortgage, charge, ete.2 if of shares, name of ¢ompany, number and tnd paleo eet ee ee, SO 4. Term {,e. the length of time for which the eu aflected shares issued at date of application) ——— \P2.0,oe Dare ee Sb or one oe Sh, Eeivated yan of tind (fa city” = Amount of loan (if a mortgage or charge) Rate of interest (if a mortgage or charge) — Rate of interest (if a mortgage or the description and area of crops with | fncluded fn the purchase price charge) .. other information affe the ‘amount of “the coseratin, parti ee vera i = @® Full description and approximate value of improvements on land meluded in the, consideration © Any other consideration passing between the partics a ‘i development programme of purchaser, including fads available thereof. with approximate date 7, Ya transfer or lease of the land— Proposed Fc acelin apenas Does the purchaser/lessee intend to reside on the land? ee 5 @0 Other agricultural land registered in the name of or held i under contract for ss tor sale by purchaser, lessee or allottee, or any member(s) of hig imp ly, ay ean whch Ke hs an interest (state the nature of any interest in such company)— = __ LR. or Parcel Nos. — Nature of interest Wictiec cantenem tn eek ieee ps ae iene and disposed of by purchaser or lessee in the’ Tok. on Paroad Now Seca eee Dietrick se —— LR. or Parcel Nos. ———-—-—- District. Area —___ “OF Farming experince of transferee ———————-__ Ra erent Area serene ‘We hereby declare that the above information fs true to the best of our knowledge and ~ r, "Sains of ptr, > See 2 ‘Signature of purchaser, lessee, _ _ Signature of owner, lessor, Sania Gacuharied. | mortgagor, chargor, or autherized ‘@gent or agents, etc. = — Bent or agents, etc Date i =r spaces allowed under any particular item are insufficient for the information, a separate Fen aed cuties ox tick sathoriced egceas or ipa bins be staged