Scribd Logo
Upload

Welcome to Scribd!

  • 85 views

    ID Application Form

    Uploaded by

    Sarati
    This document is an application for an identity card in Kenya. It collects basic personal information about the applicant such as their full name, date of birth, gender, parents' names, marital status, spouse/partner's name and ID number, place of birth, tribe, clan, family, home district, and occupation. It also requests documents to support the application such as birth certificates, passports, identity cards of parents. The applicant and a witness must sign to certify that the information provided is correct. Registration officers then authorize the registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ID Application Form

    Uploaded by

    Sarati
    85 views3 pages
    This document is an application for an identity card in Kenya. It collects basic personal information about the applicant such as their full name, date of birth, gender, parents' names, marital status, spouse/partner's name and ID number, place of birth, tribe, clan, family, home district, and occupation. It also requests documents to support the application such as birth certificates, passports, identity cards of parents. The applicant and a witness must sign to certify that the information provided is correct. Registration officers then authorize the registration.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application for an identity card in Kenya. It collects basic personal information about the applicant such as their full name, date of birth, gender, parents' names, marital status, spouse/partner's name and ID number, place of birth, tribe, clan, family, home district, and occupation. It also requests documents to support the application such as birth certificates, passports, identity cards of parents. The applicant and a witness must sign to certify that the information provided is correct. Registration officers then authorize the registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    85 views3 pages

    ID Application Form

    Uploaded by

    Sarati
    This document is an application for an identity card in Kenya. It collects basic personal information about the applicant such as their full name, date of birth, gender, parents' names, marital status, spouse/partner's name and ID number, place of birth, tribe, clan, family, home district, and occupation. It also requests documents to support the application such as birth certificates, passports, identity cards of parents. The applicant and a witness must sign to certify that the information provided is correct. Registration officers then authorize the registration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    REG.

    136C SERIAL NUMBER

    2 ________________________

    Reg. 136 A (D)


    SERIAL NO: ___________________

    FINGERPRINT CLASSIFICATION
    _______________________________
    _______________________________
    JAMHURI YA KENYA/REPUBLIC OF KENYA

    SHERIA YA USAJILI WA WATU


    (Kifungu 107)

    THE REGISTRATION OF PERSONS ACT


    (Cap.107)

    NAMBARI YA KITAMBULISHO ………………………………………………………


    (Identity Card No)

    OMBI YA KITAMBULISHO/APPLICATION FOR IDENTITY CARD


    1. Majina Kamili …………………………………………………………………………………………………
    (Full Names)
    2. Tarehe ya Kuzaliwa …………………………………………...3. Mume/Mke ………………………………
    (Date of birth) (Male/Female)
    4. Majina ya baba ………………………………………………………………………………………………...
    (Father’s name)
    5. Majina ya Mama ………………………………………………………………………………………………
    (Mother’s Name)
    6. Marital Status …………………………………………………………………………………………………

    7. Majina ya Mume ………………………………………………………………………………………………


    (Husband’s full names)
    8. Nambari ya kitambulisho ya Mume ………………………………………………………..............................
    (Husband’s ID/No.)
    9. Wilaya ya kuzaliwa ……………………………………………………………………………………………
    (District Of Birth)
    10. Kabila …………………………………………………………………………………………………………
    (Tribe)
    11. Ukoo ………………………………………………….. 12. Mlango …………………………………………
    (Clan) (Family)
    13. Wilaya ya Makao ……………………………………………………………………………………………...
    (Home District)
    14. Tarafa ………………………………………………………………………………………………………….
    (Division)
    15. Eneo la Bunge …………………………………………………………………………………………………
    (Constituency)
    16. Mtaa …………………………………………………………………………………………………………...
    (Location)
    17. Mtaa Mdogo …………………………………………………………………………………………………...
    (Sub-location)
    18. Kijiji …………………………………………………………………………………………………………...
    (Village/Estate)
    19. Anwani ………………………………………………………………………………………………………...
    (U.S.A Home Address)
    20. Kazi ……………………………………………………………………………................................................
    (Occupation)
    21. Telephone Number…………………………………. Email: ………………………………………………………

    22. Vyeti vya ushahidi ya Maombi (Documents in support of Application). (TICK WHERE APPLICABLE)
    1. (a) Applicant’s Birth Certificate Number …………………………………………………………………….

    (b) Applicant’s Passport Number ………………………………………R.Number …………………………

    2. (a) Parent’ Identity card Number …………………………………………………...and /Or

    (b) Passport number …………………………………………………R. Number ……………………………

    3. Certificate of registration or naturalization Certificate Number ………………………………………….

    4. Any other Document.

    23. Nathibitisha kuwa maelezo yote niliyoyatoa Ni ya kweli.


    (I certify that all the information I have given is correct)

    Sahihi …………………………………………………………….…… Tarehe ……………………………………


    (Signature) (Date)

    RIGHT HAND THUMB PRINT (official use) LEFT HAND THUMB PRINT (official use)

    24. Nathibitisha Kwamba namjua muombaji na yale yote yaliyotolewa ni ya kweli.


    (I certify that I know the Applicant and the particulars given are correct).

    (a) Witness Name …………………………………………………………………………………………………………..

    Identity card No. /Passport No. ………………………………………………………………………………………..

    Address (In Respective Foreign Country) …………………………….………………………………………………..

    Signature ……………………………………………….. Date ………………………………………………………..

    FOR OFFICIAL USE ONLY


    __________________________________________________________________________________________

    25. Name of the Identifying Officer ……………………….. Date…………………… OFFICIAL STAMP

    Signature……………………………………………………………………………

    26. I hereby authorize the above named to be registered in accordance with the provisions of the registration of Persons Act
    (Cap 107), Laws of Kenya.
    OFFICIAL STAMP
    Name Of registration officer ………………………………………………………………

    Signature …………………………………………………… Date ………………………


    Office of Issue ……………………………………………… Country …………………..*For the purpose of the registration of
    Persons Act (Cap 107),Laws of Kenya, it is an offence to give any information or to make any statement, which is false in a material
    particular, and that any person convicted of the offence may be fined Kshs.15000 or imprisoned for eighteen months or both.

    You might also like