Surname:  WAMANI

Other names: REACHEAL

Sex:  FEMALE

Class: PRIMARY SEVEN

Date of birth:  2007(13YRS)

Telephone No: 0780 737 067

Residential address: NDIKWATAMADDA—SALAMA ROAD

RECOMMENDER: I certify that the applicant is personally known to me and to the best of my knowledge and belief, facts stated on this form are correct. I am a citizen of Uganda.

Full names: SANYU STEPHEN

Address; SALAMA                                                                  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