Contract

V.05 Edition August 2024

IFISHI 12.a

IFISHI ISABA IHEREREKANYA RY’UBURENGANZIRA K’UBUTAKA

RISHINGIYE KU MPANO HAGATI Y’ABAKIRIHO CYANGWA KU NDAGANO

Umwirondoro

Njyewe/Twebwe: .....…………………………………………………………………………………………………………………...........

Indangamuntu/Pasiporo: …………………..………………………………………………………………………………………..........

Aderesi: Akarere ka…………………….…. Umurenge wa ……………………………Akagari ka ……………………............

Umudugudu wa ………………................Telefoni : …………………………………….E-mail:…………………………...............

Numero ya telefoni y’uhawe/ababahawe:..............................................................................

Ndasaba gukora ihererekanya ry’uburenganzira k’ubutaka rishingiye ku mpamo cyangwa indagano Amakuru ku kibanza/Isambu

Nimero y'ikibanza/isambu (UPI): …………………………..................................

Umujyi wa Kigali/Intara: ………………………………………................

Akarere: …………………………………………………...

Umurenge: …………………………………….……………..

Akagari: …………………………………….……………..

Umugabane utwangwa: %

Xxxxxxxxxxx k'ubusabe………………………………………………………………………………………….....................................

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Ibisabwa

Kopi y’ibiranga uwahawe

Icyemezo cy’irangamimerere cy’uwahawe impano/ uwatanze impano

Amasezerano y’impano hagati y’abazima yashyizweho umukono n’uwatanze n’uwahawe impano yakorewe imbere ya noteri mu by’ubutaka /Indangano yakorewe imbere ya noteri mu

by’ubutaka

Iyo ari uwapfakaye utanze impano ku butaka yari asangiye na nyakwigendera agaragaza

inyandiko y’inama y’izungura yakorewe imbere y’umwanditsi w’irangamimerere yemeza ko

impano itarengeje ½ cy’umutungo wose

Icyemezo cy’uko uwatanze yitabye Imana (Mu gihe impano yatanzwe mu buryo bw’indagano)

Ibyangombwa by’ubutaka 1butanzweho impano hagati y’abazima cyangwa indagano

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)

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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.