Request for House Blessing Form
Parishioners: Please fill in this form to request for the Friars of Church of St Mary of the Angels to bless your home.
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Full name of the Requestor* *
Requestor's Contact No: (mobile) *
Alternative name and contact number *
In case we are not to reach the requestor.
Address of the House to be Blessed* *

Postal Code of the House to be Blessed
*
Preferred Day of House Blessing *
Required
2.  Preferred Time of House Blessing* *
Required
The person(s) residing at the house to be blessed is/are: *
If not parishioners of St Mary's, please state the parish under Others.
Number of people who are Catholics living in the house to be blessed: *
If not parishioners of St Mary's, please state the parish under Others.
8.  Reason for House Blessing *
Required
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Kindly note that in filling up this form, I agree and consent to the collection, use, storage, retention, adaptation, modification, reading, retrieval, transmission, blocking, erasure or destruction ("processing") of the personal data provided by me in this form and to the sharing/processing and relevant third parties (including but not limited to entities outside the Singapore jurisdiction) in connection with Roman Catholic Archdiocese of Singapore related activities, pastoral services and other related purposes. Where I am providing such personal data on behalf of others, I confirm that I have obtained the consent of these individuals, for the disclosure of their personal data, for the purpose stated above.
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