V.
05 Edition January 2023
IFISHI 6
IFISHI ISABA GUHINDURA UBUKODE BURAMBYE BUKABA INKONDABUTAKA
Umwirondoro
Njyewe/Twebwe: .....…………………………………………………………………………………………………………………...........
Indangamuntu/Pasiporo: …………………..………………………………………………………………………………………..........
Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............
Umudugudu wa ………………................Telefoni : ………………………………………... E-mail: ……................……………...
Ndasaba guhindura uburenganzira bw’ubukode burambye bw’ubutaka bukaba inkondabutaka
Amakuru ku kibanza/Isambu
Nimero y'ikibanza/isambu (UPI): …………………………..................................
Umujyi wa Kigali/Intara: ………………………………………................
Akarere: …………………………………………………...
Umurenge: …………………………………….……………..
Akagari: …………………………………….……………..
Ibisobanuro k'ubusabe………………………………………………………………………………………….....................................
……………………………………………………………………………………………………………………………….....................................
Ibisabwa
Ibyangombwa by’ubutaka busabirwa inkondabutaka 1
Uruhushya rwo gukoresha inyubako
Ku munyamahanga: kopi y’Iteka rya Perezida ryemeza itangwa ry’inkondabutaka
Iyo ubutaka burenze hegitari ebyiri: kopi y’Iteka rya Minisitiri ryemeza itangwa
ry’inkondabutaka
Ahagenewe gusaba guhuza imikoreshereze y’ubutaka n’igishushanyo mbonera
Ndasaba ko icyo ubutaka bwagenewe gukoreshwa gihuzwa n’igishushanyo mbonera
cy’imikoreshereze y’ubutaka ( uzuza ahabugenewe)
…………………………….. ………………………………………………………………………………
Itariki y'ubusabe Umukono w'usaba (w'abasaba)
Byakiriwe kandi bisuzumwa na: ………………………………...................................................................................................
Icyo ashinzwe:……………………………………………………………………………………………………………………………..................................
Itariki: ………………………………………………………
Kashe
Umukono: …………………………………………………
1
Ibi bireba ibyangombwa byatanzwe mbere y’itariki ya 09 Mutarama 2023