REPUBULIKA Y’U RWANDA Rusizi, kuwa ……../……./2017 INTARA Y’IBURENGERAZUBA AKARERE KA RUSIZI Tél. 537120 / 537998 E-mail : [email protected] B .P 253 RUSIZI FORMULAIRE ISABA IKIRUHUKO Amazina : ………………………………………………………………………………… Unité/Serivisi : …………………………………………………………………………… Icyo akora : ………………………………………………………………………………. Igihe azamara muri konji : Kuva……………………….kugeza…………………………... Iminsi ya konji yasabye : ………………………………………………………………….. Iminsi yahawe : ……………………………………………………………………………. Iminsi isigaye : ……………………………………………………………………………. Ubwoko bwa konji isabwa (konji y’umwaka, konji y’ingoboka, konji y’uburwayi, uruhushya)…………………………………………………………………………………. Nomero za téléphone : ……………………………………………………………………. Aho yashakirwa akenewe : ……………………………………………………………….. Umukono w’Usabye konji Binyujijwe : Umukono w’Umuyobozi wa Unité/Serivisi akoreramo …………………………………... Umukono w’Umuyobozi Ushinzwe Abakozi……………………………………………… Bikorewe Rusizi, ku wa …………/………./2017 MUSHIMIYIMANA Ephrem Umunyamabanga Nshingwabikorwa w’Akarere ka Rusizi
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