JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Lukresia Rogasian (Faustin) Mrosso

Date of Birth: 09/11/2014

Age: 11

Gender: Female

Place of Birth: Kilimanjaro

Short Background/Story

Lukresia is twin to Lauriand was born when their mother was only 16 years old. She did not know who had made her pregnant, and the child was later taken to social welfare.

Section C: Education Information

Current School: Kaloleni

Class/Grade: V

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

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: She Don’t have