photo - Rwanda Botschaft

REPUBULIKA Y’ U RWANDA
PHOTO
GUSABA URWANDIKO RW’ ABAJYA MU MAHANGA (Pasiporo)
APPLICATION FOR TRAVEL DOCUMENT (Passport)
DEMANDE D’ UN DOCUMENT DE VOYAGE (Passport)
1. IZINA…………………………………………………………………………………………………………..
Andi mazina………………………………………………………….…..……………………….………………
Surname:
Other names
Nom:
Prénom
2. MWENE (PAPA)………………………………………………………………… …………………….NA (MAMA)…………………………………………………….…..…………………………………………………
Father’s name:
Mother’s name
Nom du Père
Nom de la Mere
3. IGITSINA…………………..
4. ITARIKI, UKWEZI N’UMWAKA BY’AMAVUKO……………………………………..…………
SEX
Date of birth (Date, Month and year of birth)
SEXE
Date, Mois et année de naissance
5. AHO WAVUKIYE (umurenge, akarere)……………..…………………………………………………………………………………………………………………………………………………………………………..
Place of birth (Sector, District)
Lieu de naissance (Secteur, District)
6. UMULIMO UKORA ……………………………………………………………………………………..
7. INDESHYO…………………………………………………………………………………………………….
Profession
Your height
Profession
Taille
8. IRANGAMIMERERE (Ingaragu, uwubatse, uwapfakaye, uwatandukanye)…………………………………………………………………………………………………………………………………….
MaritalStatus
Etat Civil
9. IZINA RY’UWO MWASHAKANYE ………………..……………………………………………………………………………………………………………………………………………………………………………….
Spouse’s name
Nom du conjoint
10. No Y’IRANGAMUNTU………………………………………………………………………………………….. 11. AHO YATANGIWE………………………………………………………………………………….
Resident card No/Id.card No
Place of issue
Numéro de la carte de residence/ No de la carte d’identité
Lieu de deliverance
12. No Y’IKARITA WAHAWE N’AMBASSADE…………………………………………………………….. 13. ITARIKI YATANGIWEHO…………………………..……….……………………………………..
Embassy registration card No
Date of issue
No de la carte consulaire
Date de deliverance
14. AHO UTUYE (Umujyi, igihugu, Tel., E-mail)………………………………………………..…………………………………………………………………………………..…………………………………..………..
Residence (Town, Country, Tel., E-mail)
Lieu de residence (Ville, pay, Tel., E-mail)
15. UBWENEGIHUGU BUNDI UFITE …….………………………………………………………..……….. 16. No YA PASIPORO YINDI UFITE ……………………………………………………………….
Any other Nationality
other passport No
Autre Nationalité
Le numéro d’un Passport en votre possession
17. No YA QUITTANCE……………………………………………………………………………………… ……… YO KUWA…………………………………………………………………………………………………
Receipt No
Date of issue
No de quittance
Date
Umukono (Signature)
Sinya mu kazu kabigenewe gusa
Only sign inside the box
Seulement dans la case reservée pour la signature
Directorate General of Immigration and Emigration
Tel. 0788152222 – Fax 0252 58 5292
Website: www.migration.gov.rw - Email: [email protected]