Name:

Age:

Student Information
Grade
4
Medical Condition(s)
N/A
Previous Performance
Approaching expectations.
School
Child’s performance and behaviour in school
Average and disciplined.
Name of the school
Mumbetsa Comprehensive School
Parent/ Guardian Information
Name
Patrick Lisiolo
Phone Number
0710128840
Physical Residence
Mumbaka
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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