ADA PREVENTION ANNUAL WORK PLAN
FORM 1: ANNUAL WORK PLAN FORMAT
Name of the Institution: *
The Name of the reporting institution
Category of the Institution *
Ministry, State Department, Commission, Public University, Tertiary Institution, State Corporation, County Government or Any Other
Parent Ministry: *
The ministry that the reporting institution comes under
Number of staff in the Institution: *
Total number of staff of the reporting entity
Number of students in the Institution:
Total number of students enrolled where applicable (Fill if applicable to your Institution/Organization)
Contact Person *
The name of the institutions ADA Control Committee Secretary or Point person:
Telephone number *
The name of the institutions ADA Control Committee Secretary or Point person:
Email *
The name of the institutions ADA Control Committee Secretary or Point person:
Email *
Official email address of your organization or institution
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