JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Elisha Christopher Mbise

Date of Birth: 16/07/2018

Age: 7

Gender: Male

Place of Birth: Olasiti

Short Background/Story

Elisha has along story came to orphanage because all parents died. His mother was an orphan when she reached 18yrs of age  she released to go and be independent not knowing where to go she ended up with  harsh realty of life and decided to be marred and sad enough she was marred to HIV positive husband and she got pregnant and after 9 months. she died and late on her husband also died and Elisha he came in orphanage

Section C: Education Information

Current School:Kaloleni

Class/Grade: II

School Performance (Last Exam Grade/Remarks): B

Section D: Health Information

Known Medical Conditions: NIL

Allergies: NIL

Disability (if any): NIL

Vaccination Status: NIL

Section E: Sponsorship Information

Type of Sponsorship:

• • Education: NIL

• • Health: NIL

• • Food/Nutrition: NIL

• • Clothing: NIL

Other: NIL

Sponsor Name: NIL

Start Date of Sponsorship: NIL