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