JOY OF GOD ORPHANAGE CHILD DATA COLLECTION FORM

Section A: Personal Information

Full Name: Doreen Richard Shayo

Date of Birth: 07/09/2012

Age: 13

Gender: Fimale

Place of Birth: Olasiti

Short Background/Story

Doreen is twins to sister Dorcas. Their are total orphans when their parent died their aunt took them to orphanage because he  husband doesn’t want them extended family, He wanted to divorce her wife because of Doreen and Dorcas. So their aunt sought help social welfare

Section C: Education Information

Current School:Kaloleni

Class/Grade: IV

School Performance (Last Exam Grade/Remarks): C

Section D: Health Information

Known Medical Conditions: NIL

Allergies: NIL

Disability (if any): NIL

Vaccination Status: {Vaccination Status:15}

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