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    Application Form 2a Nida

    Uploaded by

    optatiussabas1988
    This document is a registration form for Tanzania's national identification system. It collects personal details such as name, date of birth, nationality, phone number, gender, marital status, occupation, parents' details, residential and permanent addresses, identification documents, and applicant declaration. The applicant must provide their signature and date, and the form includes spaces for signatures from local government, immigration, registration, and national identification authorities to verify the application information.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form 2a Nida

    Uploaded by

    optatiussabas1988
    555 views2 pages
    This document is a registration form for Tanzania's national identification system. It collects personal details such as name, date of birth, nationality, phone number, gender, marital status, occupation, parents' details, residential and permanent addresses, identification documents, and applicant declaration. The applicant must provide their signature and date, and the form includes spaces for signatures from local government, immigration, registration, and national identification authorities to verify the application information.

    Original Title

    APPLICATION-FORM-2A-NIDA

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    This document is a registration form for Tanzania's national identification system. It collects personal details such as name, date of birth, nationality, phone number, gender, marital status, occupation, parents' details, residential and permanent addresses, identification documents, and applicant declaration. The applicant must provide their signature and date, and the form includes spaces for signatures from local government, immigration, registration, and national identification authorities to verify the application information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    555 views2 pages

    Application Form 2a Nida

    Uploaded by

    optatiussabas1988
    This document is a registration form for Tanzania's national identification system. It collects personal details such as name, date of birth, nationality, phone number, gender, marital status, occupation, parents' details, residential and permanent addresses, identification documents, and applicant declaration. The applicant must provide their signature and date, and the form includes spaces for signatures from local government, immigration, registration, and national identification authorities to verify the application information.

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    REF: Registration Form No: 2A

    BATCH NUMBER:
    POSTCODE:
    VILLAGE / MTAA / SHEHIA:
    ENROLLMENT STATION: THE UNITED REPUBLIC OF TANZANIA
    BATCH DATE: D D M M M Y Y Y Y MINISTRY OF HOME AFFAIRS

    2A
    NATIONAL IDENTIFICATION AUTHORITY

    IDENTIFICATION FORM
    (THIS FORM MUST BE FILLED IN BY LEGAL RESIDENTS/ REFUGEES)

    Put a Tick Mark ( ) in the relevant box LEGAL RESIDENT REFUGEE


    A: PERSONAL DETAILS:

    1. FIRST NAME

    2. MIDDLE NAME

    3. SURNAME

    4. OTHER NAMES

    5. DATE OF BIRTH D D M M Y Y Y Y

    6. PLACE OF BIRTH

    7. NATIONALITY

    8. PHONE NUMBER

    9. GENDER MALE FEMALE

    10. MARITAL STATUS: SINGLE MARRIED WIDOW / WIDOWER DIVORCED

    11. OCCUPATION: EMPLOYEED SELF EMPLOYEED UNEMPLOYEED

    B: PARENTS / GUARDIAN DETAILS:

    12. FATHER’S FIRST NAME

    13. FATHER’S MIDDLE NAME

    14. FATHER’S LAST NAME

    15. MOTHER’S FIRST NAME

    16. MOTHER’S MIDDLE NAME

    17. MOTHER’S LAST NAME

    C: RESIDENTIAL ADDRESS IN TANZANIA:

    18. HOUSE NUMBER

    19. REGION

    20. DISTRICT

    21. WARD

    22. VILLAGE / MTAA / SHEHIA

    23. STREET/ KITONGOJI

    24. POSTAL ADDRESS

    25. POSTCODE

    Version No. 1.1


    D: APPLICANT’S PERMANENT ADDRESS:

    26. COUNTRY

    27. ADDRESS LINE 1:

    28. ADDRESS LINE 2:

    29. ADDRESS LINE 3:

    30. ADDRESS LINE 4:

    31. ADDRESS LINE 5:

    E: PERSONAL REFERENCES
    ( Tick ( ) if Attached )

    32. PASSPORT NUMBER 32.

    33. PASSPORT EXPIRY DATE D D M M Y Y Y Y

    34. RESIDENT PERMIT / EXEMPTION CERTIFICATE / DEPENDANT PASS NUMBER 34.

    35. RESIDENT PERMIT / EXEMPTION CERTIFICATE / DEPENDANT PASS EXPIRY DATE D D M M Y Y Y Y

    36. WORK / AUTHORITY PERMIT NUMBER 36.

    37. WORK / AUTHORITY PERMIT EXPIRY DATE D D M M Y Y Y Y

    38. REFUGEE ID CARD NO / RATION CARD NO. 38.

    39. REFUGEE ID CARD NO / RATION CARD EXPIRY DATE. D D M M Y Y Y Y

    40. CONVETION TRAVEL DOC NO / CERTIFICATE OF IDENTITY NO. 40.

    41. CONVETION TRAVEL DOC NO / CERTIFICATE OF IDENTITY EXPIRY DATE. D D M M Y Y Y Y

    F: APPLICANT’S DECLARATION
    I verify that all the information I have given above is correct and true to the best of my knowledge and belief.

    42. APPLICANT’S SIGNATURE 43. LGA OFFICER’S NAME AND SIGNATURE .


    E
    UR
    AT
    IGN
    E N DS
    T UR MEA
    NA NA
    SIG CE
    R’S
    ’S FI
    NT OF
    CA A
    PLI LG
    AP

    DATE D D M M Y Y Y Y DATE D D M M Y Y Y Y

    G: FOR OFFICIAL USE ONLY.

    44. CENTER NUMBER 45. REGION

    46. DISTRICT

    47. WARD

    48. CENTER NAME

    49. APPLICATION DATE D D M M Y Y Y Y

    50. REGISTRATION OFFICER’S NAME

    51. IMIMIGRATION OFFICER’S NAME AND SIGNATURE 52. RITA / RGO OFFICER’S NAME AND SIGNATURE 53. WEO / EMPLOYER’S NAME AND SIGNATURE 54. NIDA OFFICER’S NAME AND SIGNATURE

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