FORM 1

Regulation 4(5),5(2)

THE REGISTRATION OF PERSONS ACT, 2015

To:The National Identification and

Registration Authority
Kampala

NOTIFICATION OF CHANGE / ERROR IN INFORMATION IN THE

REGISTER
Part 1: Details of person

(a) Name:…………………………………………………………………................................
Given Name ..................................................................Other Names ................................
(b) Date of birth (dd/mm/yy) ......./...…/……..
(c) National Identification Number …/…/…/…/…/…/…/…/…/…/…/.../.../.../

Part 2A: Notification of change

(a) The following information contained in the Register has changed as follows:
From ……………………………………. To ……………………….....................
From ………………………………….… To ……………………….....................
From ……………………………………. To……………………….......................
From ………………………………….… To ……………………….....................
From ……………………………………. To……………………….......................

(b) Require new card……………………………Yes/No

Part 2B: Notification of Error

The information on the Register which erroneously appears as …………….........................

………………………………………………..( state error) should appear
as……………………………............................................................... (state the correct information).

I hereby request the Authority to update the Register accordingly.

Require new card…………………………………Yes/No

Dated this ………………………day of………………………............................................

Signed…………………………………………….................................................................
 FORM 1

Regulation 4(5),5(2)

FOR OFFICIAL USE ONLY

(a) Application received and checked by ………............................……………………………
Signature of registration officer ………………..............…Date (dd/mm/yy) …../..…/...........

(b) Comments of registration officer ………………...............................………………………

…………………………………………………...........................................……………………

(c)Authority’s decision…………………….……………………………………………………
…………………………………….......................................……………………………………
Signature of registration officer ………………..............…Date (dd/mm/yy) …../..…/...........