JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Patrick Samola Ngoti

Date of Birth: 09/09/2012

Age: 13

Gender: Male

Place of Birth: Mawenzi

Short Background/Story

He comes from a difficult background, and his mother, who is a single parent, is also sick. He was eventually brought to social welfare.

Section C: Education Information

Current School: Kaloleni

Class/Grade: VI

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

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: He Don’t have