Surname:   TUSHEMEYIRWE

Other names:   JANE

Sex: FEMALE

Class: PRIMARY SEVEN

Date of birth: 30/3/2006

Telephone No: 0752 349 576

Residential address: MASAJJA

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: NAMUWONGE AISHA

Address: MASAJJA                                                                   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