FOMU YA KUJIUNGA

KIKUNDI CHA WAKULU WA UKAYA(WAWAU)

P.O.BOX  92

GAIRO –MOROGORO

MAOMBI YA UANACHAMA/UANAKIKUNDI

NAOMBA KUJIUNGA NA WAKUKLU WA UKAYA(WAWAU)

1.      TAARIFA BINASFI

JINA:……………………………………………………………………………………

ANUANI YA POSTA:………………………………………………………………..

SIMU:………………………………………….,FAX………………………………….

E-MAIL:……………………………………………

ANUANI YA NYUMBANI

ENEO/MTAA:………………………………………

NAMBA YA NYUMBA:……………………………

WILAYA:……………………………………………

MKOA:………………………………………………

2.      ADA YA UANACHAMA

KIINGILIO:           30,000/=

ADA YA MWEZI: 10,000/=

JUMLA:              40,000/=

3.      WATEGEMEZI

                 i.            ………………………………………………………

                ii.            ………………………………………………………

              iii.            ………………………………………………………

             iv.            ………………………………………………………

4.      MRITHI:…………………………………………………………             ………………………

       SAHIHI     

5.      NAMBA ZA ACCOUNT YA CHAMA

                                             i.            ………………………………………………………

                                           ii.            ………………………………………………………

6.      UTHIBITISHO:

Mimi………………………………………………., kwa hiari yangu na nikiwa na Akili timamu, nimesoma na kuielewa katiba ya chama cha WAKULU WA UKAYA, na nipo tayari kubanwa na vifungu vyake pamoja na kutekeleza majukumu yote kama katiba inavyoagiza.

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