Surname: NAMALA

Other names: MARY GORETTI

Sex: FEMALE

Class: PRIMARY ONE

Date of birth: 2013 (6YRS)

Telephone No

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:  AIEGEKA CHRITOPHER

Address: KAGADI                                                                   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