FORM 1
REPUBLIC OF KENYA
___________
THE LAND CONTROL ACT
(Cap. 302)
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APPLICATION FOR CONSENT OF LAND CONTROL BOARD
To be submitted in TRIPLICATE in respect of each transaction and
sent to or left at the appropriate office of the Commissioner of Lands
TO: THE CHAIRMAN
LAND CONTROL BOARD
L.C.R. No
I HEREBY apply to the KIMILILI DIVISIONAL
Land Control Board for its consent to the transaction described below, and give the following information:
1. (a) Present registered holder of interest (full name in BLOCK LETTERS):
PASILISA NAFULA MATERE
5636166
(b) Nationality KENYAN
(c) Address P.O BOX
2. (a) Proposed purchaser, tranferee, mortgage, chargee, allottee, etc. (full name in BLOCK
LETTERS) JIMMY KULUNDU
ID/NO 9915961
(b) If a limited liability company, names of directors, authorised and issued share capital and
principal shareholders; if a co-operative society, names of chairman, secretary and
treasurer and total number of members-
N/A
(c) Nationality Certificate No.
(d) Address
3. Nature of transaction (e.g. sale, gift, lease, mortgage, charge, etc.: if sale or allotment of shares
name of company, number and particulars of shares to be transferred
TRANSFER
4. Term (i.e the length of time for which the land affected is to be transferred or leased if sale or
allotment of shares, authorised share capital of the company and numbers of shares issued at
date of application)
ABSOLUTE
5. Description of Land-
L.R. or Parcel No. KIMILILI/KAMUKUYWA/3566
Area 0.09 Ha
Locality KAMUKUYWA
County Council OF BUNGOMA
[P.T.O.