Visit Request Form

IFISHI ISABA GUSURA

Visit Request Form

Usura (Visitor)

Amazina (Names) *

ID (National ID) *

Akarere

Umurenge

Akagali

Umudugudu

Tel *

Email for Tracking

Optional. Visitors with email can use magic link login to track this request.

Usurwa (Prisoner)

Amazina *

Code *

Itariki yo gusura (Visiting date) *

Icyo mupfana (Relationship & Additional Notes) *

Hitamo igororero (Choose prison) *