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Request for Confirmation
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Full Name of Person to Be Confirmed (Please include middle name.)
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Your answer
Gender
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Male
Female
Date of Birth
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MM
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DD
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YYYY
Place of Birth
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Your answer
Address
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Please include city, state, and zipcode
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Phone Number
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Email Address
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Father's Full Name
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Mother's Full Name
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Address
Please include city, state, and zipcode
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Parent's Address (if different from above)
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Parents' Religious Affiliation
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Date of Baptism
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Denomination in Which You Were Baptized
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Name of Church in Which You Were Baptized
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City in Which You Were Baptized
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