JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Anatol Gabriel Isaya

Date of Birth: 01/075/2015

Age: 10

Gender: Male

Place of Birth: Manyara

Short Background/Story

He was born into a family of six children. After the death of their parents, the children were left to take care of themselves at home. Later, they were brought to Joy of God Orphanage by the priest from Olasiti St. Joseph Parish..

Section C: Education Information

Current School: Kaloleni

Class/Grade: III

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: He Don’t have