Welcome to the Lhak-Sam

Affected family members support service from Lhak-Sam


Your name:
Name of the HIV+ in your family:
Your relationship with the him/her:
How are you affected due to him/her?:
Description of how you are affected:
Support requested from Lhak-Sam:
Your contact no:
Your email address:
Permanent Addres:  

Village:

Gewog:
Dzongkhag:
Your Occupation:
To what extent are you willing to come forward?

Your comments and Suggestions:
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