Rev. 2010]
Immigration
CAP. 172
FIRST SCHEDULE—(Contd.)
Form 16—Contd.)
(hereinafter referred to as the sureties) are jointly and severally held and firmly
bound unto the Government of Kenya in the sum of ..........................................
..................................................................................................................
of good and lawful money of Kenya to be paid to the said Government, for
which payment well and truly to be made we bind ourselves and each and every
one of us jointly and severally for and in the whole, our heirs, executors, and
administrators and every one of them firmly by these presents.
Dated the ...................................................................., 19 .............
NOW THE ABOVE WRITTEN OBLIGATION is conditioned to be void if the said
sureties or any of them shall on demand pay forthwith to the said Government
any expenses which may, within ....................... from the date hereof, be incurred
by the said Government in connexion with the detention, maintenance, medical
treatment or removal from Kenya of ‡ ..............................................................
SIGNED by the above bounden obligor in
................................................
the presence of:
(Obligor)
(Witness) .................................................
(Address of Witness) ...............................
..........................................................
SIGNED by the above bounden first surety ...................................................
in the presence of:
(First Surety)
(Witness) .................................................
(Address of Witness) ...............................
..........................................................
SIGNED by the above bounden second surety...................................................
in the presence of:
(Second Surety)
(Witness) .................................................
(Address of Witness) ...............................
..........................................................
*Name of immigrant, or some person on his behalf.
†Names of sureties, if required.
‡Name of immigrant.
59
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