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Church Membership Registration Form
ST.THOMAS MALANKARA CATHOLIC CHURCH, LONDON ON
Address- 1151 Royal York Rd, London ON
Contact- 2269896817
* Indicates required question
Email
*
Record my email address with my response
Primary Member Name
*
Your answer
Email
*
Your answer
Contact Number
*
Your answer
Home Address
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Date of Baptism
MM
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DD
/
YYYY
Date of Confirmation
MM
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DD
/
YYYY
Date of Marriage
MM
/
DD
/
YYYY
Spouse Name (If Married)
Your answer
Email
Your answer
Contact Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Date of confirmation
MM
/
DD
/
YYYY
Member 3 Name
Your answer
Date of Birth
MM
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DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Date of Confirmation
MM
/
DD
/
YYYY
Member 4 Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Date of Confirmation
MM
/
DD
/
YYYY
Member 5 Name
Your answer
Date of Birth
MM
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DD
/
YYYY
Date f Baptism
MM
/
DD
/
YYYY
Date of Confirmation
MM
/
DD
/
YYYY
Member 6 Name
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Date of Baptism
MM
/
DD
/
YYYY
Date of Confirmation
MM
/
DD
/
YYYY
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