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Ordinary Passport Form

This document is a request form for a Rwandan passport. It asks for basic identifying information such as name, gender, date and place of birth, occupation, address, reason for travel, and contact details. It also asks about any criminal history or disputes with others. The applicant and an official sign the form, with the official providing their name and role. The form is submitted to Rwanda's National Intelligence and Security Service for processing of the passport application.

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Kevin MweneSafari
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111 views

Ordinary Passport Form

This document is a request form for a Rwandan passport. It asks for basic identifying information such as name, gender, date and place of birth, occupation, address, reason for travel, and contact details. It also asks about any criminal history or disputes with others. The applicant and an official sign the form, with the official providing their name and role. The form is submitted to Rwanda's National Intelligence and Security Service for processing of the passport application.

Uploaded by

Kevin MweneSafari
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBULIKA Y’U RWANDA

PHOTO
NATIONAL INTELLIGENCE AND SECURITY SERVICE
UBUYOBOZI BUKURU BW’ABINJIRA
N’ABASOHOKA MU GIHUGU
B.P. 6229 KIGALI

GUSABA URWANDIKO RW’ABAJYA MU MAHANGA (PASIPORO)

1.IZINA/NOM/SURNAME ………………………………………ANDI MAZINA/PRENOMS/GIVEN NAMES


.……………………………………………………………………………………………………………………….
2. MWENE.................................................................NA...........................................................................................
3. IGITSINA: (GORE, GABO) ................................................................................................ ................................
4. AHO WAVUKIYE, UMURENGE, AKARERE .................................................................................................
………………………………………………………………………………………………………………………..
5. ITALIKI, UKWEZI N’UMWAKA BY’AMAVUKO…………………………………………………………….
6. UMURIMO UKORA …………………………………………………………………………………………….
7. INDESHYO YAWE..............................................................................................................................................
8. IRANGAMIMERERE (INGARAGU, UWUBATSE, UWAPFAKAYE, UWATANDUKANYE N’UWO
BASHAKANYE) …………………………………………………………………………………………………….
9. IZINA RY’UWO BASHAKANYE………………………………………………………………………………..
10. No Y’INDANGAMUNTU.................................ITARIKI N’AHO YATANGIWE……………………………..
11. UMUYOBOZI WAYITANZE (AMAZINA N’URWEGO ARIMO)…………………………………………....
12. NO Y’ICYEMEZO CY’ABASABA URUHUSHYA RWO KUJYA MU MAHANGA………………………..
13. UMUYOBOZI WAGITANZE (AMAZINA N’URWEGO ARIMO)
…………………………………………………………………………………………………………………………
14. ITARIKI N’AHO CYATANGIWE................................................................................ ………………………...
15. AHO UTUYE MU GIHUGU (UMURENGE, AKARERE, INTARA, TEL.)…………......................................
………………………………………………………………………………………………………………………....
16. AHO WIFUZA KUJYA........................................................................................................... …………………..
17. IMPAMVU IKUJYANYE.................................................................................................. ………………………
18. UBWENEGIHUGU BUNDI UFITE.................................................................................. ………………………
19. No YA PASIPORO Y’UBWENEGIHUGU BUNDI UFITE…………………………………………………......
20. NO YA QUITTANCE............................................ ……..KUWA.........................................................................
21. NO YA TELEFONI UKORESHA..........................................................................................................................
22. E-MAIL UKORESHA...................................................................................................................

UMUKONO Bikorewe i................................................

UMUKOZI WAYAKIRIYE
UMUKONO N’IZINA……………………

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