JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Ester Paulo Hayuma

Date of Birth: 00/00/2012

Age: 13

Gender: Female

Place of Birth: Sokoni One Arusha (Muriet)

Short Background/Story

Her mother passed away while giving birth to Ester and was mentally ill. The father is unknown. Ester was brought in by the social welfare along with the police.

Section C: Education Information

Current School: Kaloleni

Class/Grade: Four

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

Section D: Health Information

Known Medical Conditions: NIL

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: She Don’t have