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    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS
    AFYANGU-1 (3)

    Copyright:

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

    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS
    41 views1 page
    AFYANGU-1 (3)

    Original Title

    AFYANGU-1 (3)

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    © © All Rights Reserved

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    AFYANGU-1 (3)

    Copyright:

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

    Afyangu 1

    Uploaded by

    TEQSTO MERCHANTS
    AFYANGU-1 (3)

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    UNIVERSAL HEALTH ID

    CR1182157652907-8
    CR1182157652907-8

    APPLICATION DETAILS

    1.PRIMARY INFORMATION

    LAST NAME FIRST NAME MIDDLE NAME


    CHERUIYOT BENJAMIN KIPTONUI

    ID NO. NATIONALITY SEX


    10704112 Kenyan Male

    DATE OF BIRTH PLACE OF BIRTH KRA PIN


    31st December 1970 N/a N/a

    2.PERSONAL INFORMATION

    EMPLOYMENT STATUS INCOME BAND DISABILITY


    Sponsored Gross Income not updated No

    MARITAL STATUS
    Married

    3.CONTACT INFORMATION

    PRIMARY PHONE ALTERNATIVE PHONE EMAIL ADDRESS


    +254795367395 N/a

    COUNTY SUB-COUNTY WARD


    ELGEYO-MARAKWET KEIYO SOUTH METKEI

    PHYSICAL ADDRESS POSTAL ADDRESS ZIP CODE


    67 30108

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