RIB-Form 2

REPUBULIKA Y’ URWANDA

URWEGO RW’IGIHUGU
RUSHINZWE UBUGENZACYAHA

IHAMAGARA NO ………

Bwana/Madamu……….........................................................., utuye mu
Ntara .........................., Akarere ka ................................, Umurenge
wa ........................................, Akagari ka .............................., Umudugudu
wa ................................,ufite telefoni..........................., dushingiye ku ngingo za 3
na 4 z’itegeko no 12/2017 ryo kuwa 07/04/2017 rishyiraho Urwego rw’igihugu
rushinzwe ubugenzacyaha, hakurikijwe kandi ingingo ya 26 y’Itegeko N° 30/2013 ryo
kuwa 24/05/2013; Itegeko ryerekeye imiburanishirize y’imanza nshinjabyaha,
Utumiwe ku itariki ya..../...../...…., isaha………..kuri…………………………..................
(aho dukorera)

Tugusabye kuza witwaje uru rupapuro hamwe n’irangamuntu yawe, mu biro

bya……........ukoresha nomero ya tel.......................

Bikorewe…………………..kuwa.....................

Umugenzacyaha

Amazinan’umukono