BAPTISM FORM | Syriac Church

Assign to (Priest Name)

Certificate No.

Form No.

Family Name

Given Name

Place of Birth (Suburb of Hospital)

Date of Birth *

Name in Baptism

Date of Baptism *

Place of Baptism *

Parents address

Suburb

Post Code

State *

Father Full Name

Mother Full Name

Father Job

Mother Job

Father Religion *

Mother Religion *

Father mobile number

Mother mobile number

Father Email

Mother Email

Godfather Full Name

Godmother Full Name

Godfather Religion *

Godmother Religion *

Godfather mobile number

Godmother mobile number

Godfather Email

Godmother Email

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