Professional Documents
Culture Documents
Form 40
To: …………………………………….
…………………………………….
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PART 1: APPLICATION
PIN:
District County/Division Sub-County/Town Parish/Ward Village/Zone Parcel No.
I/We ………………………………………………………………………………………………………..
(name(s) and particulars) being the occupant(s) of the above land do hereby apply to deal with
the land in the following manner;
a) assign
b) sub-let
c) sub-divide
d) other (state)*
………………………………………………………………………………………………
……………………………………………………………………………………………….
……………………………………………………………………………………………….
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1
a) ………………………………………………………………………..
b) ……………………………………………………………………….
c) ………………………………………………………………………..
d) ………………………………………………………………………..
e) ……………………………………………………………………….
f) ………………………………………………………………….
Date ………………..….
In the presence of
Name, signature and address of witness:
……………………………………………… …………………