ST
ST. FRANCIS OF ASSISI CHURCH
P.O. BOX 72715, JEBEL ALI, DUBAI, U.A.E.
Tel: 8845251 E-Mail: info@stfrancisjebelali.ae
BAPTISM FORM
Year of Baptism………………. Nationality…………………………Sex………
Date of Baptism………………Date of Birth & Place………………………….
Name …….. ………………….……Surname……………………….
Father’s Name……………. ………………Nationality&Domicile……………
Mother’s Name …………………Nationality&Domicile……………….
Godfather’s Name……………………………. Domicile……………………….
Godmother’s Name…………………………...Domicile……………………….
Minister………………………………………………………………………….
Remark………………………………………………………………………….
Address/Tel No………………………………………………………………….
Seminar Attended……………………………………………………………….
Parish Priest
Note: The names (child, father & mother) must be written as per the birth certificate of the child. Domicile for church means the current parish you are close by (the parish you belong)
I accept that all the above information’s are correct. We will not request for any
Changes in the baptismal certificate in the future.
Signature of the applicant.
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