STATUTORY INSTRUMENTS

SUPPLEMENT No. 30 10th October, 2003

STATUTORY INSTRUMENTS SUPPLEMENT

to The Uganda Gazette No. 48 Volume XCVI dated 10th October, 2003
Printed by UPPC, Entebbe, by Order of the Government.

STATUTORY INSTRUMENTS
2003 No. 79.

The Leadership Code (Declaration Form) Regulations, 2003

(Under sections 4 and 38 of the Leadership Code Act, 2002)

IN EXERCISE of the powers conferred on the Minister responsible for ethics and
integrity by sections 4 and 38 of the Leadership Code Act, 2002 these Regulations
are made this 2nd day of October, 2003.

1. Citation and commencement

(1) These Regulations may be cited as the Leadership Code (Declaration
Form) Regulations, 2003.

(2) These Regulations shall be deemed to have come into force on day of
coming into force of the Leadership Code Act, 2002.

2. Prescribed form
The form specified in the Schedule to these Regulations is prescribed for the
purpose of declarations under section 4 of the Leadership Code Act, 2002.
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SCHEDULE

FIRST SCHEDULE
THE REPUBLIC OF UGANDA

DECLARATION OF INCOME, ASSETS AND LIABILITIES

UNDER THE LEADERSHIP CODE ACT, 2002

NOTE: Leaders are advised to carefully read the Notes for completion of Declaration of Income, Assets and
Liabilities below before completing this Form.

NOTES FOR COMPLETION OF THE DECLARATION OF INCOME,

ASSETS AND LIABILITIES FORM

1. The forms are obtained from the Inspectorate of Government Kampala or Inspectorate of Government
Regional Offices, or on Website: www.igg.go.ug
2. Read carefully sections 4, 5 and 6 of the Leadership Code Act 2002 and this form before completing it.
3. Ensure that required information and details in the form are provided.
4. Please write, type or print the information when filling the form.
5. The completed form should be submitted to the INSPECTOR GENERAL OF GOVERNMENT within
three months after the commencement of the Act and thereafter every two years during the month of
March in compliance with the provisions of section 4 of the Leadership Code Act, 2002. Newly
appointed leaders should complete and return the form to the INSPECTOR GENERAL OF
GOVERNMENT within three months after becoming leaders.
6. If space on the form is not enough, put information on additional sheets, indicating the number or
paragraph being continued.
7. Responsibility of submitting and ensuring receipt of the completed form by the Inspector General of
Government as indicated in paragraph 5 of these notes, remains solely with the leader completing this
form. The most reliable method of submission is therefore advisable.
8. For each form submitted there will be an acknowledgment slip issued.
9. In completing paragraph 10 detailed information should be given to explain how the landed property,
vehicles, machinery, boats, shares etc were acquired. You are expected to state, the sources of funds,
dates acquired and in the case of loans(s), how incurred and the amount, if any, outstanding.
10. Income, assets and liabilities that you may have outside Uganda, should be declared too. Joint
assets/properties, accounts, and business accounts within and outside Uganda should also be declared.
11. Declaration of the spouse, children and dependants’ income, assets and liabilities is to the leader’s best
knowledge.
DECLARATION OF INCOME, ASSETS AND LIABILITIES FORM UNDER LEADERSHIP CODE ACT
2002

PART 1

Declaration Status:

New Leader Biennual

(tick appropriate box)

1. Surname of Declarant………………………………………………………
(in block letters)

Other Names…………………………………………………………………

2. Date of Birth.………………………………………………………………

3. Place of Birth………………………………………………………………
(Village, Parish, Sub-county, County, District and Country).

4. Marital Status ………………………………………………………………

5. Citizenship…………………………………………………………………

6. Address (a) P.O. Box .………………………………………………

(b) Physical Contact………………………………………

(c) Telephone Contact………………………………………

7. (a) Rank/Position/Title.........................................................................

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 (b) Date of Present appointment ................................................................

(c) Name of employer ...................................................................................

(d) Nature of employment (contract, permanent, temporary etc)..................

(e) Salary per annum ....................................................................................

(f) Allowances per annum(approximate)......................................................

(g) Other sources of income ..........................................................................

8. (a) Immediate last appointment (rank) .........................................................

(b) Date of last appointment: From ..........................................................

To: ..............................................................

(c) Name of last Employer(s)

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9. DETAILS OF INCOME:

Cash:

(a) Cash in bank or other Financial Institution in Uganda

(Give location of the bank/institution, name(s) of account holder, account number, type of
account)

Bank/Institution Name and Location Name(s) of Account Holder Account type and its number
(b) Cash in bank or Financial Institution outside Uganda
(Give details as in (a) above and particulars of countries).

Bank/Institution Name and Location Name(s) of Account HolderAccount type and its number
(c) Treasury bills or Investments in securities
(Give details and address of the bank/company, and amount)

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(d) Amount of money owed to you by debtors .......................................

(e) Give details of the debt(s) .................................................................

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10. DETAILS OF ASSETS

(a) Undeveloped/Vacant Land

(i) Location in Uganda

Indicate Village, Sub-county Value at acquisition Current
Block and Plot Number etc, and date acquired Market Value
District (approx.)

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(ii) Location outside Uganda

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(iii) State how each land was acquired and source of funds if purchased

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(b) Developed land (Buildings)

(i) Location in Uganda

Indicate Village, Sub-county, Value at acquisition Current Residential (R)

District, Block and and date acquired Market Value or
Plot Number, etc. (approx.) Commercial (C)

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(ii) Location outside Uganda

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(iii) State source of funds, if building(s) was purchased or built by you

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(iv) State income per annum if building is for Commercial or Rent

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(c) Farms/Ranches

(i) Location in Uganda

Indicate Village, Sub-county, Activity Value at Current

District, Block and Carried on acquisition and Market Value
Plot Number; etc. Date acquired (approx.)

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(ii) Location outside Uganda

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(iii) State how each farm was acquired, if purchased state source of funds.

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(v) State income per annum accruing from the activity on each farm/Ranch mentioned above

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(d) Vehicle(s)
Type and Make Registration Number
Value at acquisition and date acquired Current Market Value (Approx.)
(i)

(ii) State how each vehicle was acquired, and source of funds if purchased

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(iii) State how each vehicle is used (Personal or Commercial). If Commercial state income p.a
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(e) Shares in a Business enterprise/Company within or outside Uganda

(i)

Name and Address of Number of

Business Enterprise/Company Nature of Business Shares

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(ii) State how share(s) were acquired, if purchased state source of funds.

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(iii) State annual income accruing from the business above

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(f) Other assets (other than household items) e.g boats, ships, aircraft, machinery, patent; etc
Value at acquisition Current Market
Item and date acquired Value (Approx.)

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(g) Assets and indebtedness previously declared but disposed of or settled, as the case may be
Give brief details of Assets i.e. Physical location and registration number, in case of vehicles, and liabilities
State when and how it was disposed of and settled in case of liabilitiesIf sold, indicate amount realised

11. PRESENT INDEBTEDNESS/LIABILITIES

Creditor
(Name and Address) Type of Liability (Mortgage Overdraft and Loans), etc Amount and Date
(i) Loans/Overdraft, etc

(ii) Terms of repayment .......................................................................................

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(iii) State when the loan(s) or overdraft etc. was/were incurred and the purpose for it.

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PART II ASSETS OF SPOUSE(S)

(This part is to be completed by the leader in respect of his/her spouse(s)

to the best of his/her knowledge)

12. DETAILS OF ASSETS/PROPERTY OF SPOUSES(S) IN AND OUTSIDE UGANDA

(a) Name of Spouse(s) and occupation

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Bank/Institution Name and Location Name(s) of Account Holder Account Type

and its Number

(b) Cash in Bank/Financial Institution

(c) Assets in and outside Uganda
(undeveloped land, buildings, vehicles, farms, business names)
(i) Location or Registration number of vehicle, name of company etc.
(Indicate village, Sub-county, Block, Plot, District or Country)
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(ii) State how each property was acquired and the source of funds if purchased or built

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Creditor
(Name and Address)
Type of Liability (Mortgage Overdraft and Loans), etc Amount and Date

(d) Present Indebtedness/Liabilities

PART III: ASSETS OF CHILDREN AND DEPENDANTS

(This part is to be filled by the leader in respect of his/her children and dependants below 18 years to the
Leader’s best knowledge)

13. (a) Names and ages of Children and Dependants

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Bank/Institution Name Name(s) of Account Holder Account Type and its Number
and Location

(b) Cash in Banks/Financial Institutions

(c) Assets in and outside Uganda (undeveloped land, buildings, farms, vehicles, business names)

(i) Location or Registration number Name of child/

of vehicle Dependant
(indicate Village, Sub-county,
Block, Plot, District or Country,
Registration number or business name)

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(ii) State how each asset was acquired and source of funds if purchased or built in case of buildings.

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Creditor Type of Liability

(Name and Address) (Mortgage Overdraft and Loans), etc Amount and Date
(f) Present indebtedness/liabilities

14. Indicate if you have ever been found in breach of the Leadership Code (nature of breach, details of
penalty etc).
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15. Give any other information you may consider relevant and useful to your declaration

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I, ..............................................., solemnly declare that the information I have given above is true, complete and
correct to the best of my knowledge.

Date: ......................................

Signature of declarant .........................................

FOR OFFICIAL USE

1. Date of Declaration .......................................................................................

2. Date of Receipt of declaration.......................................................................

3. Action taken (a) Acknowledgment Slip issued ..............................................

(b) Filed......................................................................................

(c) Sent for verification/Clarification ........................................

(d) Comments............................................................................

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Name of Receiving Officer .....................................................................................

Signature ......................................................
Telephones: 256-41-259738 Inspectorate of Government,
256-41-344219 P.O. Box 1682
Fax: 256-41-344810 Kampala, Uganda
E-mail: igg code@africaonline.co.ug
igg@starcom.co.ug
Website: www.igg.go.ug
THE REPUBLIC OF UGANDA

DECLARATION OF INCOME, ASSETS AND LIABILITIES

ACKNOWLEDGEMENT SLIP

Name of Declarant: ...................................................................................................

Address:.....................................................................................................................

Date of declaration .....................................................................................................

Date of receipt of declaration ................................….................................................

Delivered by: ...........................................................................................................

Comments: ......................................................................................................

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Name.....................................................................................................
For: INSPECTOR GENERAL OF GOVERNMENT.

Signature...............................................
 TIM LWANGA MUTEKANGA,
Minister of State for Ethics and Integrity.