Surname: MUWANGUZI
Other names: MEASECH
Sex: MALE
Class: TOP CLASS
Date of birth: 8TH/5/2013
Telephone No: 0753 285 321
Residential address: MASAAJJA
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: NAKALANZI JUSTINE
Address: MASSAJJA 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