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V.05 Edition January 2023 IFISHI 4.

IFISHI ISABA GUHINDURA IMIKORESHEREZE Y’UBUTAKA ITEGANYIJWE


N’IGISHUSHANYO MBONERA1

Umwirondoro
Njyewe/Twebwe: .....…………………………………………………………………………………………………………………...........
Indangamuntu/Pasiporo: …………………..………………………………………………………………………………………..........
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………................
Telefoni : ………………………………………... E-mail: ……................…………………………………………………………….........

Ndasaba guhindura guhindura imikoreshereze y’ubutaka

Amakuru ku kibanza/Isambu
Nimero y'ikibanza/isambu (UPI): …………………………..................................
Umujyi wa Kigali/Intara: ………………………………………................
Akarere: …………………………………………………...
Umurenge: …………………………………….……………..
Akagari: …………………………………….……………..

Ibisobanuro k'ubusabe………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
Ibisabwa

Ibaruwa isaba igaragaza ibikorwa bisanzwe bikorerwa ku butaka busabirwa ihindurwa


ry’imikoreshereze n’ibiteganyijwe gushyirwa kuri ubwo butaka
Kopi y’inyandikompamo y’ubutaka2 busabirwa guhindurirwa imikoreshereze y’ubutaka
cyangwa ifishi y’ibipimo ndangahantu igaragaza ubwo butaka;
Ibaruwa y’Akarere gafite ubuzima gatozi cyangwa Umujyi wa Kigali yemeza ko izo
mpinduka zijyanye n’iterambere ry’Akarere cyangwa Umujyi wa Kigali kandi
zitabangamiye ishyirwa mu bikorwa ry’igenamigambi ry’imikoreshereze y’ubutaka mu
Karere cyangwa mu Mujyi wa Kigali
Inyigo y’umushinga w’ishoramari rirambye cyangwa uw’inyungu rusange yemejwe
n’urwego rufite ibikorwa bikubiye muri uwo mushinga mu nshingano.
…………………………….. ………………………………………………………………………………
Itariki y'ubusabe Umukono w'usaba (w'abasaba)

Byakiriwe kandi bisuzumwa na: ……………………………….............................................................


Icyo ashinzwe: ...........................................................................................

Itariki: ………………………………………………………
Kashe
Umukono: …………………………………………………

1
Ubusabe bushyikirizwa Ikigo gifite ubutaka mu nshingano.
2
Ibi bireba ibyangombwa byatanzwe mbere y’itariki ya 9 Mutarama 2023.

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