HALMASHAURL YA JIE LA ARUSHA
AFISA MTENDAJI WA KATA
KATA YA ELERAT
S.L.P 3013
ARUSBA
TAREHE, [@:, 08: 2033
KUMB. NA,CD/WEO/EL/UH. 52/23
KWA AFISA UHAMIAJL
MKOA WA ARUSHA
YAH: UTAMBULISHO WA NDUGU, AON TIPS Jorn. Shi kims
Mtajwa hapo jou ni Mkazi wa Kata ya Flerai Mia we
Nyumba yake ni Namba .
Kazi yake ni Bipsnory
Hivyo kwa barua hii napenda, Jcumtambulisha kwako ili aweze ‘kupewa huduma
anayoomba ya Ha ZA. KRMAECRD
ia Ket”IN THE UNITED REPUBLIC OF TANZANIA
AFFIDAVIT OF THE BIRTH OF
MADE UNDER SECTION 10 OF OATHS AND STATUTORY DECLARATION ACT
(Cap, 34, RE OF 2002) *
i Res of P.O... Box ALANS HEREBY
decare that I am the father, mother, grandfather, grandmother, brother, sister, uncle, aunt,
cousin, nephew, niece or near relative of... ACH Seek
THAT the said. =>
Village, in....... ZORM
United Republic of Tanzania, on the
ALE AAR Region, | within the
lay of ne.
AKD THAT I was present immediately after the birth of the said
by
“Who is the father, mother, grandmother,
fer, uncle, aunt, cousin, son, daughter, nephew, niece or near
ER DECLARE THAT the said” J&: KM Ais/was male
VERIFICATION
ated above is true and correct according to my knowledge, belicf and infor
is known to me personally/identified to me by
The later being personally known to me.
This 16 — day of August , 2023
BEFORE ME:
Name: GONZAGA GASTO MWOMBEKI
Signature: om Z
Address: ?.0.80X, 236,ARUSHA
COMMISSIONER FOR OATHS.IN THE UNITED REPUBLIC OF TANZANIA
AFFIDAVIT OF THE BIRTH OF
AAITUPAS TOES SOc ian
MADE UNDER SECTION 10 OF OATHS AND STATUTORY DECLARATION ACT
(Cap. 34, R.E OF 2002)
Ls of P.O. BoxKahititn’¥ BO HEREBY
declere that Jam the father, mother, grandfather, arancmother, brother, gster, ae aunt,
cousin, nephew, niece or near relative of..... ASAZI.PA AN SCO UL
THAT the said... 7 \
Village, in...... 2 OM
United Republic of Tanzania, on th
was born at. AIK ERE
Region, within the ®
teas
AND THAT I was present immediately after the birth of the said
T have/had personal knowledge of the birth of the said
ADU PAS Bern Sei ha
T was informed of the birth of the said ..
by
who is the father, mother, Grandmother,
grandfather, brother, sister, uncle, aunt, cousin, son, daughter, nephew, niece or near
relative of.
I, FURTHER DECLARE THAT the said A270. PAS Ib
female,
AAis/was male/
VERIFICATION
What is stated above is true and correct according to my knowledge, belief and information.
SWORN/ AFFIRMED at. by the said i
2th A. SLE,
who is known to me peony to me by
The later being personally known to me.
DEPONENT
This 16" — day of August , 2023
BEFORE ME: bd
Name: GONZAGA GASTO MWOMBEKI
Signature: ss f
Address: P.O.BOX, 236,ARUSHA [ \ yo
COMMISSIONER FOR OATHS. \