Child / Beneficiary Registration Form

Complete the form below to register a new beneficiary

Child Identification

Basic information about the beneficiary.

Registration Number *

Full Name *

Gender *

Date of Birth *

National ID

Beneficiary Photo *Upload a JPG, PNG, or WEBP image. Maximum size: 5MB.

Education Information

Current education details.

School *

Class / Level *

Education Level

Location Information

Child's current location.

Province

District *

Sector

Cell

Village

Parent / Guardian Information

Contact information of the parent or guardian.

Parent / Guardian Name *

Contact Number *

Address

Care & Sponsorship Information

Information about care and support.

Caretaker / Mentor

Sponsorship Start Date

Sponsorship Type

Orphan / Vulnerability Status

Living Arrangement

Child Support Information

Additional information that may affect support.

Special Needs

Health Information

Registration Details

Information about this registration.

Registration Date *

Registered By

Notes

Declaration

I confirm that the information provided in this registration form is accurate to the best of my knowledge and is provided for the purpose of beneficiary registration and support by NIBEZA Foundation.

About EDUQUALITY

Our Services

Contact Us

We're Open

Office Location

Send a Message