Surname; KISAKYE

Other names: PROSSY

Sex: FEMALE

Class: PRIMARY TWO

Date of birth; 4TH /4 / 2010

Telephone No: 0759 813 121

Residential address:  NDIKUTAMADDA

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:  NAKITO FLORENCE

Address: NDIKUTAMADDA                                                                    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