FORM 3
Reg. 11 (3)
THE REPUBLIC OF UGANDA
1. I ............................................................... (Please state name and address)
apply to use my own equipment to make a copy of the following records:(a ) ................................................................................................................................
(b ) ...........................................................................................................................
(c ) ................................................................................................................................
(d ) .........................................................................................
(e ) ................................................................................................................................
2. Reasons for using own equipment
(f ) ..........................................................................................
(g)..............................................................................................................................
00 ............................................................................................
(0 ...................................................................
(j) ..............................................................................................................................
Date: ........................................................... 20 ............................
Signature of Requester 148