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REPUBLIC OF KENYA
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CERTIFICATE OF BM,TH
a Ng 3864s3
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t' District i"F" WESTERN
Province
Entry Where SOUTH Name CLARE NAFULA
No. Born NATVIWELA
Date of FEI\4AI,E;. and Surname ICHARD NEKUTUTMA
Birth 26104/109s Sex of Father FWAIVBA
Name and Maiden CA OLYNE N ILA LUKORITO
Naine of Mother
Name and Description SGD.PARENT
of Informant \
!{ipEof . , \ J t\4WA.i Dare of
Registering officer R.egistration
C.W.IVIWAI
I DiitrictTAssistant
.... District, hereby certify that this certificate rs compiled frgm an
021A6!7Q'it
AUTH.NO.10768 0F 02/*S/20f i )\
2
Distri
Gi/en under the Seal of the Director..6f Civil Registration CIn the........... 20..................
This is issued in pursuance of Births and Deaths Act 1,
certified of any entry in any registpr or return purpoting to be sdaled
of Civil shall be received'as evidence of the dates and facts ttErdin without any or othcr
of such entry.
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A Certificate of Birth is not Proof of Kenyan Citizenship,
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ForGanrdTufi-r&r
GonirstlCASQmurt
PIN Gartlficate nat +g5r{@}'lSS
frlr,:rym$+Y'*u' H:*A{OlllilltogD
En* cclc.relafa{pt
r*w.loagoJc
Ccrtlflcrilc Ette: 19S2X2040
Fcr:sond hndllcdon ifrmbr
4814872204N
This is to certify that taxpayer shown herein has been registered with Revenue Authority
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Tarpayor lnformaton
Taryapr H.ma NAFULA NEKUTUMA
EtrSAffie @GMAIL.COM
nagkrcd Addrs
LR. Number: Bulldllq: SlRlSlA
Shsdmoed : BUNGOMA Gttylloxn: BUNGOMA
BUNGOMA D*filct: West District
TaxArce: Sirisia StAdon: BUNGOMA
P. O. fux: '16
PosU Godc: 50200
Tar Obtlgedcr{s} Be$ffion Dehtts
$r. Xo' TarSffgdon(*) EfiecffiteFtour h EfhcilnuTlil m ffis
lncome Tax - Resident
1 19{AA2A?:A
lndividual N.A. Activs
The above PIN must appear on all your tax invoices and correspondences with Kenya Revenue Authorfu" your
accounting end date is 31st December as per the provisions stated in the lncome Tax Act unless a change has
been appraved by the Commissioner-Domestic Taxes Departmept.The stalus ol Tax Obligation{j} with
'Dormant' status wili.automatica-lly change to 'Aclivs' on date mentioned in .Effectiye Tillbate"'or any
transaction dane during the period- This certificate shall remain in force till further updated-
*,
D}tcllllnrr: This is a system g€nerated csrtilicate and does nor require s{Inature.
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This result stip is not a certificate. The Kenya Nationat
Examinations Council reserves the right to correct the
information given on resutt stips which witt be conf irmed b
issue of certificates (See overleaf)
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