Surname: NABAGALA
Other names: WHITENEY
Sex: F
Class: P.2
Date of birth: 2011
Telephone No: 0702 57 62 89
Residential address: MASSAJJA
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: KAZIBWE
Address: MASSAJJA 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