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V.

O5 Edition Mutarama 2023


IFISHI 12.b

AMASEZERANO Y’IHEREREKANYA RY’UBUTAKA


RISHINGIYE KU MPANO/INDAGANO

Njyewe ………………………………………………………................................

Ufite Indangamuntu nimero:

Ufatanyije ubutaka na ………………………………………………….

Ufite Indangamuntu nimero:

Ubarizwa/babarizwa mu:

- Akarere:...................................................................
- Umurenge:................................................................
- Akagali:....................................................................
- Umudugudu...............................................................

Hashingiwe ku bwishyu bw’amafaranga y’ihererekanya ry’umutungo utimukanwa angana


n………………………………………………………………………y’u Rwanda (……………….Frw), nkuko
bigaragazwa na gitansi yometse kuri aya masezerano ifite nomero ...………………;

Mpaye/duhaye umugabane ungana na………..%

Bwana/Madamu……………………………………………………………………….........

Ufite Indangamuntu nimero:

Hamwe na ……………………………………………………………..

Ufite indangamuntu nimero

Ubarizwa/babarizwa mu:

- Akarere:................................................................
- Umurenge:............................................................
- Akagali:.................................................................
- Umudugudu............................................................

Ubutaka burangwa n’ibi bikurikira:


- UPI:........./……..../........../.........../………
- Icyo ubutaka bugenewe gukoreshwa:..............................................................
- Aho buherereye: Intara:....................Akarere:......................;Umurenge:......................;
Akagali:................................; Umudugudu:................................

Utanze/abatanze yemeye/bemeye ko umutungo w’ubutaka n’ibyabukoreweho ari uwe/ uwabo.

Mpaye/duhaye Umubitsi w’Impapurompamo z’Ubutaka uburenganzira bwo kwandika ubu butaka ku


uwabuhawe muri rejisitiri y’ubutaka.

Bishyizweho umukono kuri uyu munsi wa............../............../…………

Utanze/abatanze
1. ....................................................................................................... Umukono : ……………………..

2. …………………………………………………………………………… Umukono : ………………………

Uhawe/Abahawe

1. ....................................................................................................... Umukono : ………………………

2. …………………………………………………………………………… Umukono : ………………………

AHA HUZUZWA N’UBUYOBOZI BWEMEZA IHEREREKANYA GUSA

Twebwe, …………………………………………………………….., Noteri mu by’ubutaka mu Murenge wa


……………………………… twemeje ko iyi nyandiko y’amasezerano yanditse haruguru itugejejweho kugirango
yandikwe kuri uyu mwaka wa ………………, tariki ya................... z’ukwezi kwa ................ kandi ko aya
masezerano yujuje ibisabwa byose abagurisha/ugurisha n’abagura/ugura ubutaka basabwa mu ihererekanya
kandi ko amafaranga y’ihererekanya ry’ubu butaka na servisi zijyana nabyo angana na
…………………………………………………………………y’u Rwanda (………………………….FRW) yishyuwe.

Turemeza kandi ko imyirondoro yabo n’imikono yabo biri hejuru ari impamo.

Nomero ............../.............../ byanditswe mu mwaka wa ………………, umunsi wa ..........., Ukwezi kwa


………………

________________________________________
Noteri mu by’ubutaka

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