APPLICATON DETAILS
Application Number W002739755
Serial Number 2740092
Applicant Name Anita Kataike
Date Of Birth Dec. 14, 2000
Telephone Number +256705978890
Email [email protected]
NIN CF0001310A67QC
Signature
Page 1 of 2
RECOMMENDER DETAILS
Your recommender must sign and attach a copy of their National ID
Recommender Name Patrick Kimmumwe
Profession/Occupation Other
Address Kampala
NIN CM72013101CYAE
Phone Number +256755884151
Recommender Signature
PASSPORT PHOTO
PLEASE PASTE
DO NOT STAPLE
THE PHOTO SHOULD BE
COLOURED WITH A WHITE
BACKGROUND
Page 2 of 2