JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Amos Gabriel Isaya

Date of Birth: 06/02/2019

Age:6

Gender: Male

Place of Birth: Mt.Meru

Short Background/Story

He was born to a single mother, and later his mother became sick, leaving no one to take care of him. His mother is suffering from breast cancer, and Pius is her only child.

Section C: Education Information

Current School: Kijenge

Class/Grade: VII

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