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    WASAC Customer Profile/Umwirondoro Y'umufatabuguzi Wa WASAC: Residential/Inzu Yo Guturwamo

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    Jean Paul Muvara Kabiligi

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

    WASAC Customer Profile/Umwirondoro Y'umufatabuguzi Wa WASAC: Residential/Inzu Yo Guturwamo

    Uploaded by

    Jean Paul Muvara Kabiligi
    14 views1 page

    Original Title

    Customer Resident Al

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    Copyright:

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    14 views1 page

    WASAC Customer Profile/Umwirondoro Y'umufatabuguzi Wa WASAC: Residential/Inzu Yo Guturwamo

    Uploaded by

    Jean Paul Muvara Kabiligi

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    WASAC Customer Profile/Umwirondoro y’umufatabuguzi wa WASAC

    Residential/Inzu yo guturwamo

    Personal Information/Umwirondoro

    POC/Numero y’umufatabuguzi: *………………………….

    Title: Dr. Mr. Mrs. Ms. . (Please tick one box)

    First Name/ Izina rya mbere:……………………………………………………………..


    Last name/ Izina rya kabiri:……………………………………………………………….

    Birth Date: / Itariki y amavuko:…………………………………………………………


    Birth Place/ Aho yavukiye:………………………………………………………………..

    Gender/ Igitsina: Male/Gabo: Female/Gore: (Please tick one box)

    Marital status/ Irangamimerere:


    Married/Wubatse: Single/Ingaragu: Others: (Please tick one box)

    Nationality/Ubwenegihugu: Rwandan/Umunyarwanda: Foreigner/Umunyamahanga:


    (Please tick one box)

    Customer Address/ Aderese Y’umufatabuguzi *

    National ID/Pass port No /Irangamuntu:…………………………………………………………


    Email:……………………………………………………………………………………………………

    Phone number/ Numero ya telefoni:…………………………………………………………..

    Province/Intara:……………………………………….
    District/Akarere:………………………………………..
    Sector /Umurenge:……………………………………...
    Cell /Akagali:………………………………………………...
    Village/Umudugudu………………………………………
    Street /Umuhanda:……………………………………..…
    Plot number/ UPI/Numero y’Ikibanza :……………………………………………………………..

    Name and signature/ Amazina n’Umukono

    ………………………………………………………….. ………………………………………………………………
    Note: 1) You can scan and send the copy to [email protected]. 2) Attach a photocopy of your National ID. 3) * It’s Complusory.
    Icyitonderwa: 1). Mumaze kubyuzuza neza no gushyiraho umukono, mwabyohereza kuri [email protected]. 2) Fotokopi y’indagamuntu.
    3) * N’INGENZI

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