Surname:   NABAKIIBI

Other names: PATRICIA

Sex: FEMALE

Class:  PRIMARY TWO

Date of birth: 13/11/2011

Telephone No: 0782 88 50 93

Residential address: SALAAMA 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: KASANDE CHRISTINE

Address: SALAMA ROAD                                                                   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