(1)
A person who knowingly-
(a)
uses a national identity card or other document issued or required by or under these Regulations which has been revoked: I (b) gives false information for the purpose of these Regulations Oi makes a statement which is false in a material fact:
(c)
conceals or fails to furnish information which could have otherwise affected his or her registration and issue of a national identity card;
(d)
makes any false representation for the purpose of procuring fo himself or herself or for any other person the grant, issue. renewal or variation of a national identity card. commits an offence and is liable on conviction to a fine not exceeding one hundred currency points or imprisonment not exceeding one year or both.
(a)
fails to comply with the directions, terms or conditions given to him or her by the Board under any provision of these Regulations:
(b)
unlawfully deprives a person of a national identity card issued to him or her under these Regulations:
(c)
unlawfully possesses or makes use of a national identity card belonging to any other person:
(d)
knowingly publishes or discloses any confidential information relating to resistration that comes to his or her knowledge in the course of employment without the knowledge and approval of the Board;
(e)
knowingly accesses the register and makes extracts, publishes or discloses confidential information to any person not part of his or her ordinary course of employment; (f) unlawfully enters, issues or prints, alters or erases any pan of a national identity card or any records in the register; (g) knows of a violation of the Act or any Regulations made under the Act. does not report to the Board: (h) fails to maintain a record required to be maintained by or under these Regulations in a permanent and indelible material; or (i) knowingly causes himself or herself to be registered more than once under these Regulations. s-* * commits an offence and is liable on conviction to a fine not exceeding one hundred currency points or imprisonment not exceeding one year or both.
Schedule 1 Section. 2 of the Act, reg.2
A currency point shall be equivalent to twenty thousand shillings.
SCHEDULE 2 Forms Section
29
« h of the Act. reg 10(4)
FORM D Application Form for Registration as a Citizen and Issue of a National Identification Number and National Identity Card (The L'ganda Citizenship and Immigration Control Act, Cap 66)
NATIONAL REGISTRATION SECRETARIAT
(Please use capital letters)
i * ; I I Details of applicant ! Surname ' I . ' i Given names
_l ' i 1 1 i 1 |lii: i ' ' ' 1 .lil Illi ' I ■ ! 1 i ! J ' 1 i | i 1 ' , 1 1 1 i 1 : 1 ' 1 1 . ' ! : ■ 1 l •
Sex __male __female Date of birth (DDMM YY\T) Place of birth
___________________________________________ ____________________________________ country ________________________________________________________________________________ district ___________________________________________________________________________ count}- _________________________________________________ ___________ ________________ sub counn j _____________________________ •_______ ._____________ . !_________ parish_____ ; ■_____________________________________________________________________ village : health facility
Place of origin___________________________________________________________ ________________
i • . * ; i . . : • ' ' country 1 i 1 ' ' * district ' j j 1 . ; county___ ' ; sub county 1 : 1 parish___ 1 i ' j i : I | village Indigenous community to which applicant belongs
Citizenship __binh descent ^naturalisation ^registration ;dual
If dual, state other nationality: _____________ _
Residential address District of ordinary permanent address
Highest education level attained (primary, secondary, tertiary)
Marital status __married __single __divorced _vvidowed separated Name of spouse______________________________________ ________________ __________ ; • Given names
hher names ___________________________________________________________________ •' *. L
jjven names_____________________________________________________________________________ _____________ _______ I______ i = • i - : ; L H ■ ; 1 i Previous or maiden names
1 ■ . . . . . I . ■ 1 II ■ 1 : ■ : i , : 1 ' 1 : ; ■ ' ' : ' ' 1 ' ' I Other names _________________________ ' i ; Hi ' !.
Details of applicant's parents Father's details Surname _____ _ ______ 1 _______ '' 1 I ' ■ I I 1 1 ' j ...... .... . . 1 Given names . ■ • ■ i 1 ' -------------------- --------------------------------------------------------- - --------------------- | Other names 1 i'li li • i ' i I ■ I ■ 1 ■ : ' 1 I I ' ' Tribe Z 1 : i 1 ■ i | i : ' : > • ! I ' • Clan (where applicable) ______ ; 1 .J Citizenship _binh descent ^naturalisation ^registration _dual
If dual, state other nationality: Mother's details Surname__________________________________________ _ ____________________________ ___ * ■ • i ! i ill
Given names ___ • : i Previous or maiden names
Other names r. : • ■ ■ i < : II ; : ! : : ■ H i ' ■ ' ' 1 • I ■ . •
Tribe 1 i 1 1 1 l i ■ I 1 I i 1 1 1 1 ' ' • ■ ■ Il j I ! : ' Clan (where applicable) ______ ___________ rri i 1 1 l l 1 1 1 1 II 1 1 1 1 1 ! 1 i : II; I 1 1 1 r . ■ i • Citizenship' j Qbirth-descent _haruralisation reregistration _dual
If dual, state other nationality: Other details:
I, . declare that the above particulars are true to the best of my knowledge and belief.
A: Remarks of local official
Signature and stamp of local official Dare
B: Comments of registration officer
Signature of registration officer Date
THE NATIONAL REGISTRATION SECRETARIAT Receipt for Application to be Registered as a Citizen, Issue ofNational Identification Number and National Identity' Card (Issued under Section 31 of the Uganda Citizenship and Immigration Control Act. Cap 66)
This is to acknowledge that;
Sex Qnale [^female Date of birth (DD MM YYYY) | I I i I ' I ! |
has applied to been registered as a citizen of Uganda, issue of a national identification number and national identity card.
Issue Date Name of Registration officer Signature of Registration officer
Note: For the avoidance of doubt, this registration Receipt is not proof of citizenship but only proof of application for registration as a citizen, issue of national identification number and national identity card.
National Identity Card Front Back
REPUBLIC OF UGANDA > NATIONAL ID CARD
NW12M56789 0123456789 IDUTO01 23 45 6 7 89 <<<<<<<<<<<<<<< OOOOOOXMOOOOOOXUTO<<<<<<<<<<<X 00 00.2000 r SPEC IMEN<<MARTIN<<<<<<<<<<<<<<
REPUBLIC OF UGANDA NATIONAL ID CARD
Authorisation Form (The Uganda Citizenship and Immigration Control Act, Cap 66)
NATIONAL REGISTRATION SECRETARIAT
give permission to (Card owner's name)
to pick up my (Authorisedperson's name)
national identity card bearing the national identification of number from the National Registration Secretariat or their official representative on the day of 20.... Persons not mentioned on this form do not have permission to pick up my card. I am aware that the national identity card may be used by an unauthorised person to authenticate transactions, access services as if it were me.
Card Owner's Signature Date Please see official in charge if there are any questions or concerns.
Application form for Renewal of the National Identity Card (The Uganda Citizenship and Immigration Control Act, Cap 66)
NATIONAL REGISTRATION SECRETARIAT (Please use capital letters)
Registered particulars Surname LI1111111111111111 iti 1111111 ri 11111111111111111 ini Givren names ~n 1111111111111111 . ............................................ " 11111111H1111 hj ' 1 I i ! i i ! 1 I I I I 1 1 1 1 1 1 I 1 i i i i i........ i i i i n pi 11 1 111111111111 111111111 11111111 [ 111 [ 1111 n _ "" Llfemale Date of birth (DD MM YYYY) TTT Place of birth
Sub county 1 1 1 1 1 1 11 1 I I I I I I I I I I 11II 11 I I I 11 | 111 1111111~|
If dual, state other nationality: Residential address
If more than one address, state other:
Highest education level attained and the year (primary secondaiy, tertiary)
Marital status [^married QJsingle Qdivorced Q]widowed Q]seParate^
Declaration I, ,do solemnly and sincerely declare that to the best of my knowledge and belief the above particulars in respect of this application are true, that I have not lost my status as citizen of Uganda. I further declare that I have no other valid national identity card in my possession. Date: Signature
reg. 22(2) form g Application form for Replacement of a lost National Identity Card (The Uganda Citizenship and Immigration Control Act, cap 66)
NATIONAL REGISTRATION SECRETARIAT (Please use capital letters)
I .......... the undersigned hereby apply for the replacement of my lost national identity card of national identification number hereto attached and issued to me at on the day of 20....
1 1 1 1 1 1 1 1 1 1 11 1 1 I I I I I III I 11 11 I 11 I 111 II111 H JTTTTT1 111111111111111111111111111111 h 11111111111 irm ' 1 1 1 ] ' 11 1 1 !I 1 1 1 I I 11 11 I 1111 I I I 11 III 111 11111111111ITI ex LJmale LJfemale Date of birth (DD MM YYYY) I I I I II IF Place of birth . .............................................. iuttti i 111111111111111111 n
rr 11 1 1 111 Illi 11 11 11111 District of >irth L_ Indigenous community to which applicant belongs
Citizenship Qbirth/descent [^naturalisation [[[registration Qdual
If dual, state other national! ty:_____ ________________________________________________________ __ Residential Address
If more than one address, state other:
Occupation m T i 11111111 rr i~i~t n i! r i t Profession
Highest education level attained and the year (primary, secondary, tertiary)
Marital status [[married [[single [[[divorced [[widowed [[separated
Declaration I, ,do solemnly and sincerely declare that to the best of my knowledge and belief the above particulars in respect of this application are true, that 1 have not lost my status as citizen of Uganda. I further declare that I have no other valid national identity card in my possession. Date:
FORM G1 reg. 22(3) Statutory Declaration
olemnly and sincerely declare that National Identity Card of National Identification dumber issued to me by
it.............................................................................................................................................................................................. las been lost and although thorough search has been made I am unable to trace it and 1 nake this solemn declaration conscientiously believing it to be true, in accordance with he Statutory Declarations Act.
declared on this day of 20
Magistrate/Commissioner for Oaths.
IMPORTANT - Applicants are warned that should any of the statements contained in this Declaration prove to be untrue, the consequences to them may be serious.
reg. 23(1) FORMH Application Form for Change of Particulars (The Uganda Citizenship and Immigration Control Act, cap 66)
NATIONAL REGISTRATION SECRETARIAT (Please use capital letters) Part 1; Registered particulars: Surname
NationalitY__________________________ __
NIN Date of birth (DP MM YYYY) Card No. T Part 2; Change of particulars: (Fill only the fields where the particulars have changed)
Nationality nz_ I - JU Date of birth (DD MM YYYY) Place of birth country district county sub county parish village health facility J
If you have changed the name, the document authenticating such change is; (Tick appropriate box and attach the documentary evidence)
_ Deed poll _ Marriage certificate _ Decree nisi absolute _J Others (please specify below) 11111111111 mi 11111111111111111111111111i immm Sex ZJmale Qfemale Place of origin - country district_____ county sub county parish village
Indigenous community to which applicant belongs i n 11 r11111111f1111iiii1111iir1111111111111111mum C an (where app icable) 111111111111111111111111111111111111111111111 rum Address ,pjst,r^t of ordinary/permanent residence u h 1111111111111111111111111111111111111111 mm mil1,11111111111111111111111111111111 ii 111111 mm mml1 111111111111111111111111111111 ITFTTTTTTTTTa m-l11111.. . . . . . . . . . ....... ....... ... ..... ..................ii iTmm v mage___
I I I I I I I I I I I I I I I I I I I I I I I IT!
Plot No. _________________________ _ House No. LL Occupation
Profession rri 11111 r~n m
Marital status ^married [Jsingle Name of spouse 11I I l li'H 11 T r _LL ILL rmrn
fti 1111111111 n~rn T T I I I I I I I I I I I I I I I I I I I I I I 11
llllllllll Given names El 11 li II111111111 11........ 111111111111111111 III 11 III revious or maiden names
Other names □rm 111111 IT I I I I I I I I I I ITTW rm~n
Gwen names ri Previous or maic en names
Details of applicant's parents Father's details Surname
Nationality 11 m n 1111 in Mother's details Surname
Given names i 1 1 1 1 1 1 1 1 1 Previous or maic en names ___
Other names r-r EEZEEE Z ZZ z znzzmz _______ I
Clan (where applicable) rum iii z __ I
Date of change (DD MM YYYY)
I, , do solemnly and sincerely declare that to the best of my knowledge and belief the above particulars stated in this application are true.
reg. 24(1) FORM I Application Form for Replacement of a Defaced/Damaged National Identity Card (The Uganda Citizenship and Immigration Control Act, cap 66)
national registration secretariat
(Please use capital letters)
I, .he undersigned hereby appiy for .he renew,! of my d^damaged Lionel'id«^
of national identification number hereto attached and issued to me at on the day of ,20 Registered Particulars
Date of birth (DD MM YYYY) Sex Place of birth mm::' 111111111111111 mTrnrm nn ri 111111 m Sub county................. ................................ ...................................... , ■ T -, -, , -r-, . . ■ ■ ■ . . mT _ 1111111111111111111111111111111111111 District of birth I 1 11111111111111II111111II Indigenous comnnun U VHilt 11 a HP1"- am uc uiijp mTm it: T Clan where applicab e zrz:_ Citizenship Qbirth/descent [^naturalisation [^registration
If dual, state other nationality:
Occupation ±__: Profession 11 _L_1 highest education level attained and the veai (prima ry, secondary, tertiary) -LLLLLI.11 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 _LL_L 1 1 1 1 1 1 1 1 11 1 1 1 1 Marital status [^married Qsingle Qdivorced ^widowed [^separated
I, ,do solemnly and sincerely declare that to the best of my knowledge and belief the above particulars in respect of this application art true, that I have not lost my status as citizen of Uganda. I further declare that I have no other valid national identity card in my possession.
Signature .............................................................................................
FORM J Section
20
( 1) of the Act, reg, 2'
DECLARATION OF RENUNCIATION OF CITIZENSHIP (The Uganda Citizenship and Immigration Control Act Cap 66)
I, of {insert full name and address in block capitals') and holder of national identity card and national identification number do solemnly and sincerely declare-
