Surname: KAYIMA
Other names: GERALD
Sex: MALE
Class: PRIMARY FIVE
Date of birth: 4th/05/ 2007
Telephone No: 0757 720 219
Residential address:
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: MPIIMA FRANK
Address: KANSANGA Signature
BASIC AIDS ORGANISATION
We as the organization we agreed with this information obtained here for any assistance rendered
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THANK YOU MAY GOD BLESS YOU