To submit this form, you may need to send it to the National Identification and Registration Authority (NIRA) via mail or deliver it in person to their office. Check with NIRA for specific submission details, including email or fax options if available. Ensure all sections of the form are accurately completed and signed before submission. It's advisable to keep a copy of the completed form for your records. Contact NIRA for further assistance with the submission process.

The purpose of this form is to facilitate the replacement of lost, defaced, or damaged National Identification Cards for Ugandan citizens. It ensures that individuals can maintain an up-to-date and valid form of identification, which is essential for various personal, legal, and administrative purposes. By completing this form, applicants can provide necessary information and make declarations to obtain a replacement National ID card.

• 1. Surname: Enter your surname in this field.
• 2. Given names: Provide your given names in this section.
• 3. Previous or maiden names (if any): List any previous or maiden names you have used.
• 4. Sex: Select your gender from the provided options.
• 5. Date of birth: Enter your date of birth in the format dd/mm/yy.
• 6. Place of birth: Provide details of your place of birth, including village, parish, sub-county, county, and district.
• 7. Place of origin: Provide details of your place of origin, including village, parish, sub-county, county, and district.
• 8. Indigenous community: State the indigenous community you belong to.
• 9. Clan: Mention your clan if applicable.
• 10. Postal address: Provide your postal address.
• 11. Residential address: Provide your residential address details, including village, parish, sub-county, county, and district.
• 12. Occupation: State your current occupation.
• 13. Profession: Mention your profession.
• 14. Highest level of education: Indicate the highest level of education you have attained (primary, secondary, tertiary).
• 15. Marital status: Select your marital status from the options provided (Married, single, divorced, widowed, or separated).
• 16. Name of spouse (where applicable): Provide the name of your spouse if applicable.
• 17. Particulars of applicant's children: List the number, names, sex, and ages of your children.
• 18. Height of applicant: Enter your height.
• 19. Colour of eyes: State the color of your eyes.
• 20. Colour of hair: State the color of your hair.
• 21. Father's names and place of birth: Provide your father's names and place of birth, including particulars of the clan.
• 22. Mother's names and place of birth: Provide your mother's names and place of birth, including particulars of the clan.
• 23. Previous nationality (if any): Mention your previous nationality if applicable and attach proof of renunciation.
• 24. Two contemporary descendants: List two contemporary descendants.
• 25. Passport number of applicant (if any): Provide your passport number if applicable, along with the place and date of issue and the issuing authority.
• 26. Applicant's blood group: State your blood group.
• 27. Driving licence number: Provide your driving licence number.
• 28. Tax identification number: Enter your tax identification number.
• 29. Declaration: Sign and date to declare that the information provided is true and correct.
• 30. For official use only: This section is for use by the registration officer, including application checking, comments, and authority's decision.

Failure to submit this form may lead to the inability to replace your National Identification Card, impacting your ability to verify your identity. It may result in inconveniences in accessing services that require valid identification.

• Invalid Identification: Without a replacement ID, your identification will be considered invalid.
• Service Access Issues: You may face difficulties in accessing services that require valid identification.
• Legal Implications: Inability to prove your identity might lead to legal issues in certain situations.

• 1. Lost ID Replacement: Apply for a replacement if your National Identification Card is lost.
• 2. Defaced ID Replacement: Use this form to replace a defaced National Identification Card.
• 3. Damaged ID Replacement: Replace your National Identification Card if it is damaged.
• 4. Update Personal Details: Use this form to update any changes in your personal identification details.
• 5. Renew Identification: Keep your identification valid by using this form for renewal purposes.