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    AFYANGU-1 (99)

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    MARS COMPUTERS

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    © All Rights Reserved
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    AFYANGU-1 (99)

    Uploaded by

    MARS COMPUTERS
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    4 views1 page

    AFYANGU-1 (99)

    Uploaded by

    MARS COMPUTERS

    Copyright:

    © All Rights Reserved
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    UNIVERSAL HEALTH ID

    CR0881460478726-8
    CR0881460478726-8

    APPLICATION DETAILS

    1.PRIMARY INFORMATION

    LAST NAME FIRST NAME MIDDLE NAME


    CHEA JAMES KAHINDI

    ID NO. CITIZENSHIP SEX


    35264769 KENYAN MALE

    DATE OF BIRTH PLACE OF BIRTH KRA PIN


    7th January 1993 N/A N/A

    2.PERSONAL INFORMATION

    EMPLOYMENT STATUS INCOME BAND DISABILITY


    Sponsored Gross Income not updated No

    MARITAL STATUS
    Single

    3.CONTACT INFORMATION

    PRIMARY PHONE ALTERNATIVE PHONE EMAIL ADDRESS


    +254726884839 N/A N/A

    COUNTY SUB-COUNTY WARD


    MOMBASA MVITA TONONOKA

    PHYSICAL ADDRESS POSTAL ADDRESS ZIP CODE


    TONONKA N/A N/A

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