Bank Place
Resume:
Republic of Uganda
Ministry of Internal A airs
Directorate of Citizenship and Immigration Control
PASSPORT APPLICATION PAYMENT ADVICE FORM (PERSONAL COPY) Print this form and make payments in the bank then return to the portal to schedule an appointment APPLICATON DETAILS
Application Number W003327757
Applicant Name SHEILLA KUKUNDA
Date Of Birth March 29, 1985
Telephone Number +256*********
Email *************@*****.***
NIN CF8502710JUMQE
Signature
Type of Passport Ordinary
Type of Application Renewal
Priority Standard
Place of Submission Central O ce Kampala
Place of Collection Central O ce Kampala
PAYMENT DETAILS
Assessment Date 01/08/2024
Bank Name Dfcu Bank
Description PRN Amount
Passport Ordinary (48 Pages) 225********** 250,000 TOTAL TO PAY 250,000
PASSPORT PHOTO
PLEASE PASTE
DO NOT STAPLE
THE PHOTO SHOULD BE
COLOURED WITH A WHITE
BACKGROUND
Page 1 of 6
PASSPORT APPLICATION PAYMENT ADVICE FORM (BANK COPY) Print this form and make payments in the bank then return to the portal to schedule an appointment APPLICATON DETAILS
Application Number W003327757
Applicant Name SHEILLA KUKUNDA
Date Of Birth March 29, 1985
Telephone Number +256*********
Email *************@*****.***
NIN CF8502710JUMQE
Signature
Type of Passport Ordinary
Type of Application Renewal
Priority Standard
Place of Submission Central O ce Kampala
Place of Collection Central O ce Kampala
PAYMENT DETAILS
Assessment Date 01/08/2024
Bank Name Dfcu Bank
Description PRN Amount
Passport Ordinary (48 Pages) 225********** 250,000 TOTAL TO PAY 250,000
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THE APPLICATION
Passport Type Ordinary
Type of Application Renewal
Priority Standard
Place of submission Central O ce Kampala
Old Passport B0795365
Place of issue KAMPALA
Date of issue March 23, 2010
Date of expiry March 23, 2020
THE APPLICANT
Personal details
Surname KUKUNDA
Given name SHEILLA
Maiden name
Other Names
Telephone Number +256*********
National Identi cation Number (NIN) CF8502710JUMQE Card No
Sex Female
Date Of Birth March 29, 1985
Marital Status Married
Place of Birth RUBAGA
Profession/Occupation Business Studies
Email *************@*****.***
Residential Address
Country of residence Uganda
District KAMPALA
County/Municipality RUBAGA DIVISION NORTH
Sub county RUBAGA DIVISION
Parish/Ward NAMIREMBE
Village (LC1/Zone) BAKULI
Plot number
If out of Uganda state address
Details of origin
Nationality Uganda
District KAMPALA
County/Municipality RUBAGA DIVISION NORTH
Sub county RUBAGA DIVISION
Parish/Ward NAMIREMBE
Village (LC1/Zone) BAKULI
Plot number
Applicant's tribe Bakiga
Give details of clan/generation of origin MUSIGI
First Descendant BAHAMYE
Second Descendant BAHAMYE CHARLES
CITIZENSHIP
Citizenship By birth
Provide Dual certi cate number
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Date of issue
Previous or other nationality
Other passport number
State date of renunciation of previous citizenship SPOUSE
Spouse Surname NSUBUGA
Spouse Given name MATHIAS
Maiden names
Date of marriage July 14, 1991
Place of marriage KAMPALA
PARENTS DETAILS
Father's details
Father Status Alive
Father surname BAHAMYE
Father given name CHARLES
National Identity Number (NIN) CM48055103KH9F
Date of birth (DD/MM/YYYY) June 2, 1948
Country of Birth Uganda
Place of Birth KABALE
Country of Residence Uganda
If out of Uganda state address
District KAMPALA
County/Municipality RUBAGA DIVISION NORTH
Sub county RUBAGA DIVISION
Parish/Ward NAMIREMBE
Village (LC1/Zone) BAKULI
Plot number
Fathers's tribe Bakiga
Nationality UGANDAN
Mother's details
Mother Status Deceased
Mother surname BAHAMYE
Mother given name ALICE
Mother maiden name BAHAMYE
National Identity Number (NIN)
Date of birth (DD/MM/YYYY) May 10, 1965
Country of Birth Uganda
Place of Birth MBARARA
Country of Residence Uganda
If out of Uganda state address
District KAMPALA
County/Municipality RUBAGA DIVISION NORTH
Sub county RUBAGA DIVISION
Parish/Ward NAMIREMBE
Village (LC1/Zone) BAKULI
Plot number
Mothers's tribe Banyankore
Nationality UGANDAN
NEXT OF KIN
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Contact surname NSUBUGA
Contact given name MATHIAS
Phone number +256*********
Email **************@*****.***
District KAMPALA
County/Municipality RUBAGA DIVISION NORTH
Sub county RUBAGA DIVISION
Parish/Ward LUNGUJJA
Village (LC1/Zone) KITUNZI
Plot number
Relationship -- other --
Speci c Relationship husband
NIN CM9105210H3U5C
Passport number
Place of work (organization and physical address NAALYA If out of Uganda state address
RECOMMENDER
Recommender surname BAHAMYE
Recommender given name CHARLES
Profession/Occupation Business Studies
Other Occupation
Address 7330`
NIN CM48055103KH9F
Phone +256*********
Signature
ELSE RECOMMENDER
Recommender surname
Recommender given name
Profession/Occupation
Address
NIN
Phone
Signature
PAYMENT
Payment Mode Over-the-counter bank payment
Payment Bank Dfcu Bank
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Note
You can pay all PRNs obtained using:
I. Mobile money
II. Cheque
III. Bank over the counter
IV. Point pf Sale
Other payment methods provided by your bank include I. Electronic funds transfer
II. Real time gross settlement
III. Swift
IV. Online payment (VISA MasterCard, Union pay, American express with : Orient, STANBIC and Barclays Banks) If you fail to complete the online transaction you can try again later with the online bank option or pay the same PRN using any other payment option at acceptable banks. You can use any of the following banks of their choice once you have a PRN 1. Bank Of Africa
2. Bank Of Baroda
3. Bank Of Uganda
4. Barclays Bank
5. Commercial Bank Of Africa Uganda Limited
6. Cairo International Bank
7. Centenary Bank
8. Citibank
9. DFCU Bank
10. Diamond Trust Bank
11. Eco Bank
12. Equity Bank Uganda Limited
13. Exim Bank Uganda Limited
14. Finance Trust Bank Limited
15. Gtbank
16. Housing Finance Bank
17. KCB Bank Uganda
18. NC Bank Uganda Limited
19. Orient Bank
20. Post Bank Uganda Limited
21. Pride Micro nance Uganda Ltd
22. STANBIC
23. Standard Chartered
24. Tropical Bank Ltd
25. United Bank For Africa
NB: Please ensure to pay your PRN before 21 days expire Page 6 of 6
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