Surname: MAYANJA

Other names: JOSHUA

Sex: MALE

Class: PRIMARY TWO

Date of birth: 15/08/2012

Telephone No: 0753 372 899

Residential address: SALAAMA

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: NABBALE FARIDAH

Address: SALAAMA                                                                    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