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
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‘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)
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‘Sub county bal [ong Parish or
Name of Mother 5 5 Tel. Number EH RUSE
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District of Origin ‘County Themeteamba
Sub county Parish
Name of Child Gender Date of Birth ‘Age
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‘Name, Telephone Number | Email
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Name. Relationship Physical Address ‘Telephone No.
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Name. Relationship Physical Address. Telephone No.
Mabaze 25fho/ Pz Aaizrtel Tsaenbejn- Salsa OFS 6OS4ESDates Name of Details of course or major
college/University/Institution subjects
attended
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Dates ‘Name of Detalls of course or major
college/University/Institution subjects
attended
From/To. ‘Name of Employer Position held Reasons for leaving
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hereby certify to the best of my knowledge that the information | have provided in this form is
complete.
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Signature Date
Verified by:4
Name
WAnaoto Lot omen)UGANDAPOLICE |
: WARRANT CARD
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