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Resurrection Parish Census Card
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Email
*
Your email
Title
Mr
Mrs
Ms
Miss
Other
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First Name
*
Your answer
Surname
*
Your answer
Usual Mass Time
6.00pm
9.00am
11.00am
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Date of Birth
MM
/
DD
/
YYYY
Religion
Your answer
Occupation
Your answer
Address
*
Address including Suburb and Postcode
Your answer
Contact No
*
Your answer
Mobile No
Your answer
Are there any other People living at your address (Children or Extended Family)
*
Yes
No
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