Registration Date : 06/17/2004 Name: Masoud Father's Name: Habibullah Mother's Name: Nasima Age: 12 Date of Birth: 2000 Place of Birth: Iran Gender: b

School Name: Grade: Gaurdian: Physical Disabilities: Languages: dari Skills: Aspirations:

Number of Sisters: 1 Number of Brothers: 0 Siblings On File: Is Mother Living: Yes Is Father Living: Yes

Special Notes: mother in sewing program Has Child Been Sponsored: Yes