Surname; YIGA

Other names: ELVIS

Sex:  MALE

Class: SENIOR FOUR

Date of birth: 10^TH/02/ 2003

Telephone No: 0758 982219

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: AMINA KIGUDDU

Address: SALAAMA 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