6.____________________________________________________________________ In the presence of Name ___________________ Signature of the Possessor___________________ Name ___________________ Signature of Witness _______________________ Name of local leader ____________________ Signature____________________ Name of an officer executing the order _______________ Signature __________ Duplicate Passed to the Owner on _________________________________ 13 GN. NO. 428 (Contd.) Immigration (Amendment) CAUTIONED STATEMENT OF THE SUSPECT PERSON TIF. 38 THE UNITED REPUBLIC OF TANZANIA _____________ (Made under regulation 35A (6)) ________________________ PERSONAL PARTICULARS Names__________________________________________________________ Race/Tribe _________________________ Nationality ______________________ Age _____ Sex ______________ Religion ______________________ Occupation Address __________________________________ _______________________ Street _____________________ Ward _____________ Village _____________________ Mobile _________________________ Business Address:______________________ Email ____________________ Name of the Local Leader ______________________ ______________ Place CAUTION: I, __________________________________ an Immigration Officer, of the rank of _____________caution you Mr./Mrs./Ms. _______________________ that you are alleged to have committed the offence of ____________________________ contrary to section ____________ of the _________________________________________ thus you are not obliged to say anything regarding the aforementioned allegation unless by your own free will. If you are willing to give a statement, your statement will be recorded in accordance with section 20 of the Immigration Act, Cap. 54 and sections 10, 57 and 58 of the Criminal Procedure Act, Cap. 20 or sections 34 and 43, of Criminal Procedure Act, No. 7 of 2018 and may be tendered as evidence before the court of law. Further be informed that you have the right to be legally represented by your advocate, a relative or a friend of your own choice to witness the recording of this statement. ____________________________ _________________________ Signature of the Immigration Officer Signature of the Suspect Person Date____________________________ Date______________ RESPONSE TO THE CAUTION: I, _____________________________________________________________, have been cautioned by ____________________________________ that I am alleged to have committed the offence of ________________________ contrary to section _________ of ________________________________ and that I am not obliged to say anything regarding the above mentioned allegation unless by my own free will and that what I am going to state here-in-under may be tendered before the court of law as evidence and that I have been duly informed the right to be represented by an advocate, a relative or a friend of my choice to witness the recording of this statement. ____________________________ ___________________ 14 GN. NO. 428 (Contd.) Immigration (Amendment) Signature of the Suspect Person Signature of the Witness Date ____________________________ Date ______________ _________________________________ Signature of the Immigration Officer QUESTION: Are you willing to give a statement voluntarily? ANSWER: ______________________________________________________________________ QUESTION: Would you like to give out your statement to me alone, or before your relative or advocate? ANSWER: _____________________________________________________________________ _____________________________ Signature of the Suspect Person ______________________ Signature of the Witness __________________________ Signature of the Immigration Officer Place where the statement was taken _____________________________________ Date_______________ Time when the Interview Started ______________________ CAUTIONED STATEMENT ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ______________________________________________________________ NOTE: All alterations of statement should be initialed, no blank spaces should be left, names to be written in block capital. __________________________ Signature of the Suspect Person _____________________ Signature of the Witness Date ______________________ Date _______________ _____________________ Signature of the Immigration Officer 15 Immigration (Amendment) GN. NO. 428 (Contd.) Date _______________ Continuation of Statement of: __________________________________________ I, ____________________________________________, confirm that I have read the statement of ____ pages and that are correct and accurate. Signature______________________ Place___________________________________ I, _________________________________________, being a translator, confirm that I have translated the statement of the Suspect Person correctly and diligently. Signature ________________ Place ___________________ that I, _________________________________________, an Immigration Officer, hereby of confirm _____________________________________________________ pages _____________ correctly and accurately as per Section ______________ of the Criminal Procedure Act (Cap. 20) statement of recorded have this I Signature of Immigration Officer __________________________________________ Time when the interview ended: __________________________________________ Place _________________________________________________________________ 16 GN. NO. 428 (Contd.) Immigration (Amendment) TIF. 39 WITNESS STATEMENT FORM THE UNITED REPUBLIC OF TANZANIA ____________ (Made under regulation 35A(6)) ______________ IMMIGRATION No______________________________________________________ CASE FILE Statement Mr/Mrs/Ms_______________________________Occupation_________________ Race/Tribe/Nationality Religion__________Age____________ Address __________________________ Telephone House_______Office/Work_____________________ Mobile____________________________Others_________________________________ ______ :Business (in full) _____________________ Address: Home (in full) ____________________________ No.______________________ of DECLARATION UNDER SECTION 34B(2)(c) OF THE EVIDENCE ACT, CAP. 6 OR SECTION 34(1)(c) OF THE ZANZIBAR EVIDENCE ACT, NO, 9 OF 2016 ____________________________________________________________hereby I, declare this statement (consisting of ______ pages each signed by me) is true to the best of my knowledge and belief and I make it knowing that if it is tendered in evidence, I shall be liable to prosecution for perjury if I have willfully stated in it anything, which I know to be false or do not believe to be true. Made at ____________ Time __________________________________ (Place) _____________________ On the ________________Day of __________________________ (Signed) ________________________________________________________________________ ________________________________________________________________________ Statement Continuation of_________________________________________________ ________________________________________________________________________ ________________________________________________________________________ of Recording Signature_____________________________________________________ Complainant’s/Witness’s Signature________________________________________________________________ Officer’s 17 GN. NO. 428 (Contd.) Immigration (Amendment) I, __________________________________of rank of_____________________(rank of Corporal and above), hereby declare that I have faithfully and accurately recorded the statement of the above named witness_______________________________________as per section 10(3) of the CPA [Cap. 20 RE 2022]. Signed about__________ NOTE: All alterations be initialed; no blank spaces to be left; all names to be written in block capitals. me______________at__________________on_______________at by 18 GN. NO. 428 (Contd.) Immigration (Amendment) THE UNITED REPUBLIC OF TANZANIA ___________ (Made under regulation 35A(7)) __________ SECURITY BOND FOR THE SUSPECT PERSON TIF. 40 I,____________________________________________, of Postal address _________, an adult and of sound mind, holding Passport/Identity No.____________, mobile no.________________ , a resident of _____________________, house no.____, located at_________________Street/Shehia/Village_________________________, the name of the local leader ____________________,(if employed) the name and address of employee , being alleged to have committed an offence of contrary to willingly and voluntary agree to comply with the conditions of this bail set forth // OR willingly out bail Mr/Mrs/Ms____________________________________________ , holding Passport/ID number________________ who is (relation)_________________ , and is alleged to have committed the offence of _________________________________________ contrary to of_________________________________________________________. voluntarily, and /of I have committed myself to grant my surety and adhere to the conditions of bail to show cause person (specified court) located at _________________________ on (date) ____________time _____________ without undue delay. Immigration suspect the to Office/ I, further, commit that I am ready for legal actions to be taken against me on the breach of the aforementioned conditions: OR I agree for/deposit (specified sum of money) to be forfeited if the suspect person fails/ I fail to appear in court /at the immigration office on the date and time specified. Documents/articles surrendered to the office as surety are: