SERIAL No 2511600226
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511602599
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2528314512
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511603297
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 25124589746
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2512654789
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511605897
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511589764
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511645689
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511602599
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2517896467
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2511602599
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 2518594234
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
SERIAL No 251125698
Republic of Kenya
the registration of persons act (Cao. 107)
application for registration acknowledgement
1 Misc. Receipt No.
2 Office of Issue
3 Full names
4 Home district
5 Type of application
6 Address
7 Name of Registration Officer
Signature
LEFT THUMB PRINT
Date
Note:
This acknowledgement is not an
identity card
This is the property of the Government of Kenya
This is the property of the Government of Kenya
