Name:

Age:

Student Information
Grade
7
Medical Condition(s)
N/A
Previous Performance
Meeting expectations.
School
Child’s performance and behaviour in school
Average and disciplined
Name of the school
Mumbetsa Comprehensive School
Parent/ Guardian Information
Name
Jackson Luka Omengo
Phone Number
0717091702
Physical Residence
Mahungu
Employment Status
N/A
Any other details
N/A
School
Child’s performance and behaviour in school
Average and disciplined
Name of the school
Mumbetsa Comprehensive School
Class teacher/ teacher in charge’s name and phone number
Joy Adira – 0725896075

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