RITAA

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FormT.I.

3
Fee:Tshs.20,000/-

THE UNITED REPUBLIC OF


TANZANIA

MINISTRY OF CONSTITUTIONAL AFFAIRS AND JUSTICE


REGISTRATION INSOLVENCY AND TRUSTEESHIP AGENCY (RITA)

THE TRUSTEES INCORPORATION ACT [CAP 318-R.E 2002]


(Section 6 (3))

NOTIFICATION OF MARITAL STATUS

BEFORE ME, the undersigned authority, a Notary Public in and for said State and County, on this
date personally appeared the undersigned (Affiant), personally known to me, who, after having
been by me first duly sworn, upon oath, according to law, deposed and said:
My full name is AUGUSTINE KALUMUNDER CHAILLA
I am a single person and have never been married.
Affiant confirms that the statements contained herein are true and correct.
Executed this 16 day of JULLY , 2020

Affiant Signature ________________________________________________

SUBSCRIBED AND SWORN TO BEFORE ME,


on this 16 day of JULLY , 2020

Notary Public, United Republic of Tanzania

………………………………………………..
__________________________________________

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