JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Emmanuel Albin Tarimo

Date of Birth: 21/12/2019

Age: 5

Gender: Male

Place of Birth: Arusha MRRH

Short Background/Story

His mother passed away while giving birth, and he was taken to Neema Village. After two years, he returned to his father, but his father took Emmanuel to the social welfare department because he was unable to take care of him..

Section C: Education Information

Current School: Kijenge

Class/Grade: Baby class

School Performance (Last Exam Grade/Remarks):

Section D: Health Information

Known Medical Conditions: He have eye problem he need operation

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