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    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS
    5 views1 page

    Original Title

    AFYANGU-1 (17)

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    UNIVERSAL HEALTH ID

    CR9373141621534-4
    CR9373141621534-4

    APPLICATION DETAILS

    1.PRIMARY INFORMATION

    LAST NAME FIRST NAME MIDDLE NAME


    MBURU MARY NJERI

    ID NO. NATIONALITY SEX


    1856382 Kenyan Female

    DATE OF BIRTH PLACE OF BIRTH KRA PIN


    31st December 1952 N/a N/a

    2.PERSONAL INFORMATION

    EMPLOYMENT STATUS INCOME BAND DISABILITY


    Sponsored Gross Income not updated No

    MARITAL STATUS
    Widowed

    3.CONTACT INFORMATION

    PRIMARY PHONE ALTERNATIVE PHONE EMAIL ADDRESS


    +254707561822 N/a

    COUNTY SUB-COUNTY WARD


    UASIN GISHU KESSES TARAKWA

    PHYSICAL ADDRESS POSTAL ADDRESS ZIP CODE


    TIMBOROA

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