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Genowa Governor's Cup 2024

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When:
Nov 16, 2024
02:11 am - 05:11 am

Where:
Rangwe and Karachuonyo Sub Counties,
Respective Wards

Homa Bay County

P.O Box 469 - 40300, Homabay
[email protected]
Monday – Friday, 8:00 am – 5:00 pm

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Request an Ambulance

Patient Information

Firstname

Lastname

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Single Journery

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Clinical Information

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FLLoCA Grievance Redress MechAnism (GRM)

SECTION A: Personal Information (Provision of information in this section is voluntary)

Complainant’s Name

ID Number

Phone Number

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Email Address

Sub County

Ward

Village

SECTION B: Complaint Lodge

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Name/Department/Sub-county/Ward/Agency

Have you reported this matter to any other county official/office? YES/NO

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No

If YES, which one?

Has this matter been the subject of court proceedings? YES/NO

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If NO, please give a brief summary of your complaint and attach all supporting documents (Indicate all the particulars of what happened, where it happened, when it happened and by whom)

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