JESHI LA POLISI TANZANIA

KARATASI YA MAELEZO PF 2A
Maelezo ya………………………………………………………
Kabila ………………………………….Dini………………Umri……………..Mwaka…………….
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Anuani………………… Mtaa……………… Kijiji…………….Kata…………….Tarehe ……………
M/kiti wa serikali ya Kitongoji
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Anuani ya
simu…………………………………………………………………………………………...
Simu ya Ofisini………………………………………………… Barua
pepe……………………………
TAMKO: CHINI YA KIFUNGU CHA 34 B(2)(C ) CHA SHERIA YA USHAHIDI [SURA YA
3] SHERIA YA TANZANIA KAMA ILIYOREJEWA MWAKA 2019.
Mimi………………………………………………………….. naapa kwamba maelezo nitakayotoa ni
kweli tupu kwa kadri ya ufahamu wangu na kwamba maelezo nitakayo yatoa ni ukweli mtupu na
yatumike kama ushahidi mahakamani naweza kushitakiwa kwa kutoa Ushahidi wa uongo kama
nitakuwa nimeeleza lolote la uongo au ninaamini kuwa sio kweli.

TAREHE………………………….. MUDA WA KUANZA

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MAHALI………………………….. WILAYA…………………………………...
Saini ………………………………

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