JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Veronica S. Makilika

Date of Birth: 01/04/2011

Age: 14

Gender: Female

Place of Birth: Ilala Dar-es-Salaam

Short Background/Story

Born to street parents with no permanent residence, the child grew up without proper care or stability. Due to difficulties in providing a safe and supportive environment, the child was brought to Joy of God Orphanage by social welfare officers to receive better care, education, and protection.

Section C: Education Information

Current School: Kijenge / Suye

Class/Grade: Form one

School Performance (Last Exam Grade/Remarks): Grade C

Section D: Health Information

Known Medical Conditions:

Allergies: NIL

Disability (if any): NIL

Vaccination Status: I don’t know

Section E: Sponsorship Information

Type of Sponsorship:

   • Education: 0%

   • Health: 0%

   • Food/Nutrition: 0%

   • Clothing: 0%

Other: She Don’t have