JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ST. MICHAEL’S PARISH PENAMPANG
JALAN ST. MICHAEL’S SECONDARY SCHOOL
P. O. BOX 110, 89507 PENAMPANG, SABAH
TEL: 088-711009/715804
Sign in to Google
to save your progress.
Learn more
* Indicates required question
REQUEST FORM FOR PASTORAL VISIT & SACRAMENT AT HOME
Permohonan Kujungan Pastoral dan Sacramen di Rumah.
A.
TERMS (Syarat-syarat)
Please tick (x) where applicable (Sila tandakan (x) yang berkenaan) :-
*
Sick (sakit)
Disabled (kurang upaya)
Old age (orang tua)
I declare that I am free from any Canonical Impediment that would disallow me from receiving Holy Communion (Tidak ada halangan hukum Gereja, Cth: Perkahwinan belum diberkati))
I confirm that I reside in the Parish of St. Michael Penampang (Tinggal dalam kawasan Paroki Penampang)
Required
B.
TYPE OF APPLICATION (Jenis permohonan):
*
Sacramen Pengakuan
Sacramen Pengurapan
Komuni Kudus
Semua yang di atas
Required
C. MAKLUMAT DIPERLUKAN
Nama
*
Your answer
Umur
*
Your answer
Alamat Tempat Tinggal
*
Your answer
Nombor Telefon
*
Your answer
Nama ahli keluarga (Salah seorang)
*
Your answer
Nombor Telefon ahli keluarga (Salah seorang)
*
Your answer
Tarikh Cadangan Lawatan
*
MM
/
DD
/
YYYY
Masa Cadangan Lawatan
*
Time
:
AM
PM
Makluman Penting :
1. Sebarang permohonan haruslah memenuhi syarat pastoral yang telah ditetapkan seperti di dalam perkara (A).
2. Sila hubungi Pejabat Mision 088711009 / 715804 atau WhatsApp ke 0102001924 (semasa waktu Pejabat sahaja) selepas melengkapkan borang ini.
Terima kasih.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms