CO-0008

Komang Tri budawati

Current Number: IO-736-0156

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0156

Child Name:
Abbreviated Name:
Commonly Used Name:

Komang Tri budawati

Komang Tri budawati
Komang

Birthdate:

11/8/2000
(day/month/year)

Age:

10

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other: Dancing

Buying/Selling

CO-0008

Komang Tri budawati

Current Number: IO-736-0156

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

3
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Indonesian

Above Average

Date child expects to enter (day/month/year):

9/7/2017
9/8/2020
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

Komang Tri budawati

Current Number: IO-736-0156

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive ? Yes
Living with this child?Yes
Contributing financially to this child?Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive ? Yes
Living with this child?Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other: Buruh tani

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

Komang Tri budawati

Current Number: IO-736-0156

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

Kadek Nofairi / IO-736-0066

85

Date of planned child sponsorship completion:

8/ 2022
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86

Child's religion is Hindu.- by jpalumian on 11/06/2008

CO-0008

Putu Yuni Krismayani

Current Number: IO-736-0157

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0157

Child Name:
Abbreviated Name:
Commonly Used Name:

Putu Yuni Krismayani

Putu Yuni Krismayani
Putu Yuni

Birthdate:

27/6/1998
(day/month/year)

Age:

11

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other:

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

Putu Yuni Krismayani

Current Number: IO-736-0157

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

4
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
history

Above Average

Date child expects to enter (day/month/year):

10/7/2013
10/8/2016
//
//
//

Course of study:
college prep
Unsure

CO-0008

Putu Yuni Krismayani

Current Number: IO-736-0157

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
Yes

No

NATURAL MOTHER
Unknown

Yes

65
66
67

Alive
Living with this child?
Contributing financially to this child?

Alive
Living with this child?
Contributing financially to this child?

68

Handicapped?
(How?
Chronically ill?
(How?
Mentally ill?
In prison?

Handicapped?
(How?
Chronically ill?
(How?
Mentally ill?
In prison?

69
70
71

)
)

FATHER or MALE GUARDIAN

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:
Farmhand

farmer
sells in market
church worker
project worker
teacher
laborer:
other:
Farmhand

CO-0008

Putu Yuni Krismayani

Current Number: IO-736-0157

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Date of planned child sponsorship completion:

/
Month

Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86

Child's religion is Hindu.- by jpalumian on 11/04/2008

CO-0008

KM Febri Wahana

Current Number: IO-736-0158

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0158

Child Name:
Abbreviated Name:
Commonly Used Name:

KM Febri Wahana
KM Febri Wahana
Febri

Birthdate:

10/2/2001
(day/month/year)

Age:

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

KM Febri Wahana

Current Number: IO-736-0158

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Other:
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

COUNTRY LEVEL

No

U.S. EQUIVALENT

39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
Average
What is the child's best subject? Bahasa Indonesia

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

1
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Above Average

Date child expects to enter (day/month/year):

7/7/2020
8/8/2024
//
//
//

Course of study:
College prep

CO-0008

KM Febri Wahana

Current Number: IO-736-0158

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child?Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other: Hindu

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

KM Febri Wahana

Current Number: IO-736-0158

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Luh KD Sri Dewi (IO-736-0093)

Date of planned child sponsorship completion:

2/ 2023
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86
87
88

child has medical check up once in 6 months- by errmanurung on 03/08/2007 Chil

d's condition remains the same with the previous.- by jpalumian on 04/14/2009
Anak masih tinggal dikelas 1, anak sangat sulit untuk mengikuti pelajaran hal itu disebabkan saat anak sering mengalami step.

CO-0008

Intan Yuliana Sari David

Current Number: IO-736-0159

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0159

Child Name:
Abbreviated Name:
Commonly Used Name:

Intan Yuliana Sari David

Intan Yuliana Sari David
Intan

Birthdate:

21/11/2001
(day/month/year)

Age:

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

Intan Yuliana Sari David

Current Number: IO-736-0159

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

3
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Indonesian

Above Average

Date child expects to enter (day/month/year):

10/7/2017
10/8/2020
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

Intan Yuliana Sari David

Current Number: IO-736-0159

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer: Construction worker
other:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

Intan Yuliana Sari David

Current Number: IO-736-0159

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Date of planned child sponsorship completion:

11/ 2023
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86

CO-0008

KM Riska Yani

Current Number: IO-736-0160

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0160

Child Name:
Abbreviated Name:
Commonly Used Name:

KM Riska Yani
KM Riska Yani
KM Riska

Birthdate:

19/8/1999
(day/month/year)

Age:

11

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Kristen

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

KM Riska Yani

Current Number: IO-736-0160

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

4
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Indonesian

Above Average

Date child expects to enter (day/month/year):

10/7/2016
10/8/2019
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

KM Riska Yani

Current Number: IO-736-0160

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other: Kerajinan alat music tradisional

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

KM Riska Yani

Current Number: IO-736-0160

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Date of planned child sponsorship completion:

8 / 2021
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86

Child's religion is Hindu.- by jpalumian on 11/04/2008

CO-0008

Rosita Pertiwi

Current Number: IO-736-0161

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0161

Child Name:
Abbreviated Name:
Commonly Used Name:

Rosita Pertiwi
Rosita Pertiwi
Rosita

Birthdate:

28/10/2001
(day/month/year)

Age:

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other: Dancing

Buying/Selling

CO-0008

Rosita Pertiwi

Current Number: IO-736-0161

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

3
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Drawing, Membaca

Above Average

Date child expects to enter (day/month/year):

11/7/2017
11/8/2020
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

Rosita Pertiwi

Current Number: IO-736-0161

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive? Yes
Living with this child? No
Contributing financially to this child? No
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer: Farmhand
other:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

Rosita Pertiwi

Current Number: IO-736-0161

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Cristin Ulandari

Date of planned child sponsorship completion:

10/ 2023
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86
87

This child is Hindu.- by jpalumian on 11/18/2008

Ke-2 orang anak sudah bercerai dan ibu anak sudah menikah lagi, saat ini anak tinggal dengan nyahnya.

CO-0008

KD Agus Widianto

Current Number: IO-736-0162

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0162

Child Name:
Abbreviated Name:
Commonly Used Name:

KD Agus Widianto
KD Agus Widianto
Agus

Birthdate:

8/7/1997
(day/month/year)

Age:

13

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

KD Agus Widianto

Current Number: IO-736-0162

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

8
2
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Above Average
Sport and health, Bahasa Indonesia
Date child expects to enter (day/month/year):
10/7/2012
10/8/2016
//
//
//

Course of study:
college prep
Unsure

CO-0008

KD Agus Widianto

Current Number: IO-736-0162

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? No
Contributing financially to this child? Yes
Handicapped?No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison?No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive? No
Living with this child? No
Contributing financially to this child? No
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other: Ojek

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

KD Agus Widianto

Current Number: IO-736-0162

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Komang Triana Wati (IO-736-0097)

Date of planned child sponsorship completion:

Primawati (IO-736-0098)

7/ 2019
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86
87
88

previous data of mother was incorrect, mother still alive but now permanently se
parated- by errmanurung on 03/08/2007 Child's religion is Hindu.- by jpalumi
an on 11/04/2008

CO-0008

Kadek Dwi Saputra

Current Number: IO-736-0163

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0163

Child Name:
Abbreviated Name:
Commonly Used Name:

Kadek Dwi Saputra

Kadek Dwi Saputra
Kadek Dwi

Birthdate:

20/12/2001
(day/month/year)

Age:

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hin du

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

Kadek Dwi Saputra

Current Number: IO-736-0163

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

No

COUNTRY LEVEL
39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
What is the child's best subject?

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

U.S. EQUIVALENT

1
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Average
Indonesian

Above Average

Date child expects to enter (day/month/year):

10/7/2017
10/8/2020
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

Kadek Dwi Saputra

Current Number: IO-736-0163

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
Yes

No

NATURAL MOTHER
Unknown

Yes

65
66
67

Alive
Living with this child?
Contributing financially to this child?

Alive
Living with this child?
Contributing financially to this child?

68

Handicapped?
(How?
Chronically ill?
(How?
Mentally ill?
In prison?

Handicapped?
(How?
Chronically ill?
(How?
Mentally ill?
In prison?

69
70
71

)
)

FATHER or MALE GUARDIAN

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

Kadek Dwi Saputra

Current Number: IO-736-0163

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Luh Pupayanti (IO-736-0116)

Date of planned child sponsorship completion:

12/ 2023
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86

Child's religion is Hindu.- by jpalumian on 11/04/2008

CO-0008

GD Agus Heryanto

Current Number: IO-736-0164

Page 1

CASE STUDY
(please print)

Case Worker:

Date Prepared: 11/2008

(month/year)

Update

Child Number:

IO-736-0164

Child Name:
Abbreviated Name:
Commonly Used Name:

GD Agus Heryanto
GD Agus Heryanto
Agus

Birthdate:

15/11/2001
(day/month/year)

Age:

Sex:

Male

Female

CHRISTIAN ACTIVITIES
7

Sunday School/Church

Youth Group

Vacation Bible School

Choir

Bible Class

Camp

Other: Hindu

FAMILY DUTIES
9

Washing Clothes

Gardening/Farming

Running Errands

Making Beds

10

Cleaning

Animal Care

Carries Water

Child Care

Sewing

Gathers Firewood

Teaching Others

Teaching Others

11
in Market
12

Kitchen Help

Other:

HOBBIES AND SPORTS

13

Dolls

Group Games

Soccer/Football

Bicycling

14

Play House

Rolling a Hoop

Baseball

Walking

15

Jacks

Marbles

Basketball

Swimming

16

Hide and Seek

Cars

Volleyball

Running

17

Reading

Art/Drawing

Ping Pong

Jump Rope

18

Singing

Listening to Music

Other Ball Games

Story Telling

19

Musical Instrument:

Other:

Buying/Selling

CO-0008

GD Agus Heryanto

Current Number: IO-736-0164

Page 1

HEALTH
Physical Handicaps/Chronic Illnesses:
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

None

Epilepsy

Asthma

Polio

Mentally Retarded

Crippled:

Spine due to . . . . . .
Left Foot due to . . .
Right Foot due to . .
Left Hand due to . .
Right Hand due to . .
Left Leg due to . . . .
Right Leg due to . .
Left Arm due to . . .
Right Arm due to . .
Speech: . . . . . . . . . . . . . . . . . . . . . . . .
Hearing:
Left Ear . . . . . . . . .
Right Ear . . . . . . . .
Sight:
Left Eye . . . . . . . . .
Right Eye . . . . . . . .
Is this child receiving regular medical treatment?
Is this child receiving regular medication?

Other:

Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Injury
Defective
Defective
Defective
Defective
Defective

Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Disease
Mute
Deaf
Deaf
Blind
Blind

Yes
Yes

No
No

Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect
Birth defect

SCHOOLING
37
38

Is the child attending school?

If not attending, give reason:

Yes

COUNTRY LEVEL

No

U.S. EQUIVALENT

39
40
41
42
43
44
45
46
47

Preschool
Kindergarten
Primary School
Middle School
High School
Vocational School Level:
Apprenticeship Level:
College/University Level:
Other School Level:

48
49

School Performance:
Below Average
Average
What is the child's best subject?Matematika

50
51
52
53
54

Future Plans:
High School:
College/University:
Bible School:
Vocational Training:
Other:

2
Give course of study:
Give course of study:
Give course of study:
Give course of study:

Above Average

Date child expects to enter (day/month/year):

8/7/2017
8/8/2020
//
//
//

Course of study:
College Prep.
Unsure

CO-0008

GD Agus Heryanto

Current Number: IO-736-0164

Page 1

GUARDIANS
55
56
57
58

Father
Mother
Uncle
Aunt

Brother
Sister
Grandfather
Grandmother

Stepfather
Stepmother
Godfather
Godmother

Friends
Institutional Workers
Foster Parents
Other Relatives

NATURAL PARENTS
59

Are the natural parents together now?

Yes

60
61
62
63
64

Marital status of natural parents:

Now married.
Were married, now separated by death.
Were married, now divorced or permanently separated.
Were never married.
Unknown.

No

Unknown

NATURAL FATHER
65
66
67
68
69
70
71

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

NATURAL MOTHER
Unknown

)
)

FATHER or MALE GUARDIAN

Yes
Alive? Yes
Living with this child? Yes
Contributing financially to this child? Yes
Handicapped? No
(How?
Chronically ill? No
(How?
Mentally ill? No
In prison? No

No

Unknown

)
)

MOTHER or FEMALE GUARDIAN

72

The father or male guardian is

regularly employed

The mother or female guardian is

regularly employed

73

The father or male guardian is

sometimes employed

The mother or female guardian is

sometimes imployed

74
75

The father or male guardian is not employed

There is no father or male guardian

The mother or female guardian is not employed

There is no mother or female guardian

76
77
78
79
80
81
82

The Father or male guardian:

The mother or female guardian:

farmer
sells in market
church worker
project worker
teacher
laborer:
other:
Farmhand

farmer
sells in market
church worker
project worker
teacher
laborer:
other:

CO-0008

GD Agus Heryanto

Current Number: IO-736-0164

Page 1

FAMILY SIZE
Number of family members in home under 18 years of age:
83

Boys:

(including this child)

Girls:

Brothers and sisters registered with Compassion:

84

85

Date of planned child sponsorship completion:

11/ 2023
Month Year

GENERAL COMMENTS
(include any additional information - details of medical, school, family, etc.)
86