Nambari ya Kitambulisho / ID Number Select type of id N/A National ID Passport PIN Resident permit ID Zan ID Nambari ya Kitambulisho / ID Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Male

Female

Namba ya simu/ Phone number Sanduku la posta / P.O.Box Nambari ya nyumba/ House Number Wilaya ya makazi / District of Residence Select District of Residence Chake Chake Kaskazini "A" Kaskazini "B" Kati Kusini Magharibi "A" Magharibi "B" Micheweni Mjini Mkoani Wete Shehia au kata ya makazi/ Shehia/Ward of Residence Select Shehia of democile Mkokotoni Misufini Nganani Dunga Bweni Shangani Mwera Chanjaani Mchakwe Michungwani Kwa Mchina Chole Wawi Mtoni Mkunazini Ubago Kijini Makoba Mto wa Pwani Pale Mangapwani Mzuri Kidimni Kiponda Bububu Pujini Makoongwe Uwandani Fuoni Kipungani Shidi Malindi Machui Kajengwa Fujoni Kivunge Tumbatu Gomani Kiombamvua Jambiani Kikadini Kiboje Mwembeshauri Mchangani Mkanyageni Kama Fuoni Migombani Mambosasa Mfenesini Michenzani Mlandege Miwani Mtende Donge Mchangani Tumbatu Jongowe Mkwajuni Mkadini Kibuteni Kiboje Mkwajuni Mwembeladu Chokocho Mtambwe Kaskazini Mwakaje Chunga Fuoni Kibondeni Kangagani Kisiwa Panza Gulioni Ghana Kizimkazi Dimbani Zingwezingwe Kibeni Muwange Kitope Kizimkazi Mkunguni Koani Makadara Kangani Kiuyu Minungwini Kianga Mbweni Mikarafuuni Dole Piki Kengeja Shaurimoyo Mgeni Haji Muyuni 'A' Mahonda Pitanazako Potoa Mnyimbi Muyuni 'B' Uzini Mwembemakumbi Muambe Kisiwani Makangale Kizimbani Muembe Majogoo Mnarani Mbuzini Kilindi Wingwi Njuguni Gando Kiwani Chumbuni Mitakawani Muyuni 'C' Donge Mtambile Fukuchani Kidoti Kinduni Pete Tunduni Kwamtipura Mtambile Ukunjwi Shumba Mjini Tibirinzi Bumbwisudi Taveta Maungani Chachani Majenzi Pandani Mizingani Kilimahewa juu Muungoni Donge Karange Tazari Kigunda Donge Mbiji Paje Amani Ngwachani Shengejuu Mjini Wingwi Wara Shakani Kiembesamaki Mvumoni Msuka Magharibi Bopwe Chambani Nyerere Jambiani Kibigija Donge Kipange Nungwi Matemwe Donge Vijibweni Bwejuu Sebleni Wambaa Utaani Chimba Matale Chukwani Fumba Wesha Tumbe Magharibi Mtambwe Kusini Mbuguani Magomeni Kitogani Upenja Kijini Pwani Mchangani Kiwengwa Kiongoni Mpendae Uweleni Selem Sizini Uwandani Bweleo Dimani Madungu Shumba Viamboni Kinyikani Mtangani Urusi Tasani Pangeni Gamba Moga Kilombero Dongwe Kilimani Ukutini Chwale Mihogoni Mgogoni Kombeni Mwanakwerekwe Dodo Kifundi Maziwani Chumbageni Miembeni Marumbi Mgambo Chaani Masingini Mchenza Shauri Muwanda Uroa Kikwajuni Juu Mbuyuini Mpambani Maziwa Ng'ombe Mbuzini Mto Pepo Uzi Stahabu Magogoni Michungwani Tondoni Kipangani Kikwajuni Bondeni Pongwe Chaani Kubwa Kikobweni Jumbi Kisimamajongoo Kigongoni Mtemani Kuukuu Kibokoni Kidanzini Mtoni Kidatu Jitimai Sokoni Mwanyanya Mbaleni Mjimbini Shanake Mzambarauni Takao Vikokotoni Tunguu Bandamaji Kinyasini Binguni Mwembetanga Junguni Kinowe Shamiani Mafufuni Msingini Fuoni Kijitoupele Tomondo Mkoroshoni Mkataleni Jombwe Micheweni Kiungoni Mwembeshauri Cheju Kandwi Chutama Bungi Rahaleo Pembeni Chamboni Kendwa Njia ya Mtoni Misufini Welezo Mtufaani Minazini Msuka Mashariki Kizimbani Kwaalimsha Unguja Ukuu Kaepwani Kisongoni Gombani Kilindi Kikungwi Mikunguni Limbani Tumbe Mashariki Mgagadu SharifuMsa Kibweni Mkungu Konde Mkele Uzi Kilimani Uvivini Ng'ambwa Muungano Kiuyu mbuyuni Changaweni Kihinani Fundo Donge Pwani Kwagube Mtemani Wingwi Mapofu Sogea Charawe Mtemani Bwereu Ukongoroni Jang'ombe Mgogoni Kisauni Kiongwe Kidogo Majenzi Meli Nne Finya Dodo Kidongo Chekundu Michamvi Kigomani Kidombo Mpapa Matarumbeta Ngombeni Kinyasini Pangawe Kinuni Mlindo Mtoni ChemChem Kwahani Unguja Ukuu Kaebona Banda Kuu Matemwe Kaskazini Ndijani Mwembepunda Kwaalinatu Muembemchomeke Mjananza Makombeni Nyamanzi Ole Mchanga mdogo Michikichini Karakana Tindini Matemwe Kusini Mombasa Zuwiyani Kilimahewa Bondeni Kijichi Kojani Mjini Ole Kigongoni Mchangamrima Kambini Hawaii Kwa Wazee Kiungani Kijibwemtu Mfikiwa Migombani Masingini Mchangani Shamba Juga Kuu Mbuyu Tende Uholanzi Meya Vitongoji Kisiwandui Mtakuja Masumbani Maruhubi Muembemadema Mnazimmoja Mboriborini Saateni Mapinduzi Kwamtumwajeni Kwabintiamrani Mitiulaya Matetema Bambi Pagali Umbuji Dunga Kiembeni Ndijani Mseweni Jendele Chwaka Michamvi Chuini Jadida Ziwani Ndagoni Kwale Ng'ambwa Shungi Chonga Mgelema Kichungwani Kwagoa Chemchem Kikaangoni Munduli Banko Kipange Uhusiano na muombaji / Relation with applicant Select Relation with applicant BROTHER FATHER HUSBAND Medical Staff MIDWIFE MOTHER OTHER SISTER WIFE Hali ya Ajira / Employment Status Employeed Not Employeed