Surname:  AKANKUDA

Other names: SUZAN

Sex: FEMALE

Class; SENIOR TWO

Date of birth: 23/11/2006

Telephone No: 0752 866 600

Residential address:   KYAKEDDE

RECOMMENDER: I certify that the applicant is personally known to me and to the best o my knowledge and belief, facts stated on this form are correct. I am a citizen of Uganda.

Full names: BEKYONDOZA   FELIX

Address: KYANKEDDE                                                                   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