Surname: MUWONGE
Other names: GEORGE
Sex: MALE
Class: PRIMARY FOUR
Date of birth: 8TH/ 05 / 2008
Telephone No: 0758 422 529
Residential address: MASSAJJA
RECOMMENDER: I certify that the applicant is personally known to me and to the best o my knowledge and belief, facts stated on this form are correct. I am a citizen of Uganda.
Full names: NAKANWAGI NORAH
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