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REMOTE WORK SUPPORT INITITIVE

REMOTE WORK SUPPORT INITITIVE

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Date *

Name of Vulnerable Child *

Place of Residence *

Sub-county *

Date of Birth*

Name of Father *

Name of Mother *

Guardian's Name *

Contact Form *

Current Class *

Talent *

Likes/Interests *

Contact Phone *

E-mail *

District *

Religion *

Gender * Male Female

Caretaker * Both Parents Father Mother Guardian