Surname: NANTONGO
Other names: FLAVIA
Sex: FEMALE
Class: PRIMARY SIX
Date of birth: 13 / 5/ 2006
Telephone No: 0750 968320
Residential address: SALAMA
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: KAAYA STEPHEN
Address: SALAMA 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