JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Amani Kalua Maiko

Date of Birth: 10/01/2020

Age: 4

Gender: Male

Place of Birth: Unknown

Short Background/Story

She comes from a broken family with a history of alcoholism. She was taken to Amri Abeid Stadium as a street child. There were two of them, along with her sister, Agnes.

Section C: Education Information

Current School:

Class/Grade:

School Performance (Last Exam Grade/Remarks):

Section D: Health Information

Known Medical Conditions: He don’t have any condition

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