Jina Kamili / Full Name

Namba ya Simu / Phone

Jinsia / Gender

Barua Pepe / Emial (Kama ipo / If available)

Zoni / Zone

Hali ya Ndoa / Maritual Status

Kiwango cha Elimu / Education Level

Mji / Resident City

Mtaa / Resident Steet

Kazi / Occupation

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