Form LRA 9

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Form LRA 9 (r.

21(2), 22(1)(d), 70(1) and 71(1))


(To Be Filled In Quadruplicate)
ORIGINAL

Fees Paid in respect of the following:


Item Receipt Number Amount For Official Use Only
Registration Fee
Title Fee
RECEIVED:
Total Amount

The Conditions on the Back of this Form shall be complied with


REPUBLIC OF KENYA

THE LAND REGISTRATION ACT

THE LAND REGISTRATION (GENERAL) REGULATIONS, 2017

GENERAL APPLICATION FOR REGISTRATION

I hereby apply for the registration of the under mentioned instruments in the following order of priority:-

Date of Description Title Number Booking Number For Official


Instrument Use only

9.4.2002

I/we apply/Do not apply


for: Certificate of Title
/Certificate of Lease

The following documents are enclosed:-

Document/Instrument** Title No confirmed

Name in Block Capitals .......................................................................

Postal Address ...............................................................


Tel No.........................
Email Address ...............................................................
Signature .................................................................
Date...................20.............
Special instructions, including in appropriate cases the name and address of the person to whom
the documents are to be sent if other than the presentor:-

(The conditions on the back of this form must be complied with)

* Delete whichever fee is not applicable


** provide list of all the documents provided to support registration.
Add documents as appropriate.

[P.T.O.]
CONDITIONS

1. Every instrument presented for registration, unless it has been prepared by the Registrar, must be
accompanied by this form.

2. The form must be completed, in triplicate, accurately in accordance with these conditions. Failure to do
so may result in the rejection of the application. The information supplied by the presentor must appear
legibly in English. If registration is sought at different registries, separate applications accompanied by
the instrument must be addressed to each.

3. Delete from the list of enclosed documents those, which are not appropriate, and add any additional
enclosures.

4. Fees must be paid before submitting the application.

5. Applications may be submitted as follows:-

(a) by post, addressed to the appropriate Registrar ;

(b) by hand, delivered at the appropriate registry;

6. The priority of registration is not established until the application is received by the Lands registry and
a Booking Number is provided.

7. Documents represented for registration after they have been rejected must be accompanied by a fresh
set of forms of application duly completed.

8. The documents shall be presented by either party to the transaction or an authorised agent. For purposes
of this application, an authorised agent means a person registered by a professional body.

FOR OFFICIAL USE ONLY

To: - THE UNDERMENTIONED PRESENTOR


DESPATCHED RECEIVED
A. The documents presented for registration are
returned duly registered together with all the
documents applied for.
B. The documents presented for registration are
returned unregistered. I am unable to register
because:
...................................................................
...................................................................
...................................................................
...................................................................
................................................................... DUPLICATE

LAND REGISTRAR

Name:.................................................................................

Signature:...........................................................................
.

The Conditions on the Back of this Form shall be complied with

...............................................................................................................................

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