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Name

First

Last

Gender

Male
Female

Date of Birth

Place of Birth

DATE OF BAPTISM If Baptised

PLACE OF BAPTISM If Baptised

ADDRESS OF CHURCH OF BAPTISM If Baptised

DATE OF FIRST HOLY COMMUNION If received

PLACE OF FIRST HOLY COMMUNION If received

ADDRESS OF CHURCH FOR FIRST HOLY COMMUNION If received

PROFESSION

OCCUPATION

HOUSE ADDRESS

POSTCODE

PHONE NUMBER

FATHER’S NAME

First

Last

FATHER’S RELIGION

MOTHER’S NAME

First

Last

MOTHER’S RELIGION

MOTHER’S MAIDEN NAME

MARITAL STATUS

Single
married

NAME AND ADDRESS OF CHURCH WHERE MARRIED If married

NAME OF YOUR GODPARENT OR SPONSOR

RELIGION OF YOUR GODPARENT OR SPONSOR

NAME OF CHURCH AND DATE OF YOUR SPONSOR’S CONFIRMATION

In line with GDPR – Would you give us permission to retain this information safely in the Parish Archives? The information supplied here would be transferred onto the Certificate and Register >>> Print name, sign and date

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Address

Parish Life