JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Yohana Lucas Gine

Date of Birth: 09/07/2011

Age: 14

Gender: Male

Place of Birth: Magugu

Short Background/Story

Her parents committed suicide, and she was brought to Joy of God Orphanage by a social welfare officer from Magugu, Manyara. She has a sister who works as a house girl in Morombo, Arusha. She is currently 16 years old.

Section C: Education Information

Current School: Kaloleni

Class/Grade: IV

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

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: He Don’t have