| 1) TIN |
| Owner's TIN : * |
Yes
No
|
Applicant Category : * |
Individual
Non Individual
|
| TIN : * |
|
| 2) Name of Owner (Individual): (In case minor, only details of guardian should be provided) |
| Title (Optional) : |
|
Other (Specify) : |
|
| Surname : * |
|
First Name : * |
|
| Middle Name : |
|
Acquired Name : |
|
| Family Surname : |
|
Sex/Gender : * |
Male
Female
|
| 3) Name of Owner (Non Individual) : |
|
| 4) Address in Uganda (This must be a permanent physical address.) |
| Plot Number : |
|
Street Name : |
|
| Building Name : |
|
Trading Center : * |
|
| District : * |
|
County : * |
|
| Sub-County : * |
|
Parish : * |
|
| Village : * |
|
| P.O. Box No. : |
|
Town/City : |
|
| 5) Contact Details : |
| Mobile Phone Number : * |
|
Landline Number : |
|
| Email Address : |
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