Surname:   ASIIMWE

Other names:  IVAM

Sex: MALE

Class:   PRIMARY FIVE

Date of birth:   2009

Telephone No: 07776 73112

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: BYARUHANGA EMMA

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.

REASON: I am unable to pay for his school fees since I have no job and he lost his mother and father.