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DuraPro Solutions Employee Bio-data Form Date:_O\ \ | 2002 isease or Disability Di ease of disability description | Numb Nene Lasatoro Sohomon ees - Position Sixties EXRCTIVE [Ae TAIN OFC GSSIEHE Postal Address [ Ay ac : [NSSF Number |OO1 VAS ASAIO Personal Email Address = leone Date of Birth 3S Face of Birth NEAR val “Si Decemeber MA Host! ‘Bank Name Bank Account No 1D Type aaa | ewer Date of issue 01 1S] 20n2 Date of Expiry Gender ‘7 ‘Appropriately: | Male [Female Blood Group 7 Appropriately: |A\_7 |B AB ° Marital Status Topropriacely | Se Yared Bread ——] Wises Re Sols ‘Next of Kin Kusrage eater NextofKinTel. | ots Gost 7st (Nok) Name ri ature Number(s) CAKES 4h District of origin County Sub-county Parish ‘Name of Father Spouse's Name ‘Spouse's Tel. N District of Origin County Sub county Parish jee bot, Tel. Number (cory iste) Whose Diswict oF Or | Plame texenba ‘County belongo, ‘Sub county bal [ong Parish or Name of Mother 5 5 Tel. Number EH RUSE Bang puree nem | O District of Origin ‘County Themeteamba Sub county Parish Name of Child Gender Date of Birth ‘Age T Mebinae ecitor | female popesn a 3 a 5 3 ‘Name, Telephone Number | Email T fven ano Foc Fao | Mgntoaqesonl) com 2 Kongabs Wine 1188150154 | — yt 3 UY | Name. Relationship Physical Address ‘Telephone No. Thie’o_Lonnet Marit awk (asa ¢O1s Name. Relationship Physical Address. Telephone No. Mabaze 25fho/ Pz Aaizrtel Tsaenbejn- Salsa OFS 6OS4ES Dates Name of Details of course or major college/University/Institution subjects attended “From | To. Dates ‘Name of Detalls of course or major college/University/Institution subjects attended From/To. ‘Name of Employer Position held Reasons for leaving : Aern to clatrass Prekar = ai ees ed Pee geeae sees i hereby certify to the best of my knowledge that the information | have provided in this form is complete. ol los foor Signature Date Verified by: 4 Name WAnaoto Lot omen) UGANDAPOLICE | : WARRANT CARD FINO: ef REPUBLIC OF UGANDA 5 you ~" NATIONAL 1D CARD 2» - igo = “RENMETH JOHN MARTIN EANETHJOWNMARTIN Tees Ta) Gare “SyscsorstozaMr — goz0eesda rear ¢ 22004 asda es pate of tssues 34/07/2035 IDUGAQO20464684CM690751029M1F< 6908153241 2012UGA141201<<<<<2 NY LLRO<

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