Surname: SHIFAH
Other names: MARIAM
Sex: FEMALE
Class: TOP CLASS
Date of birth: 23rd/NOV/2012
Telephone No: 0755 405 733
Residential address: MASSAJJA
RECOMMENDER: I certify that the applicant is personally known to me and to the best my knowledge and belief, facts stated on this form are correct. I am a citizen of Uganda.
Full names: NAMIIRO ZAINAH
Address: MASSAJJA signature………………………………
BASIC AIDS ORGANISATION:
We as the organization we agreed with this information obtained here for any assistance rendered
THANK YOU MAY GOD BLESS YOU