PARISH FAMILY REGISTRATION FORM
St Mary's Parish Melbourne West
68 Katherine Drive, Ravenhall, Vic 3023
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Full name
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Family Name (Veettu Peru) *
Email address *
Mobile Number *
Address *
Spouce's full name
Spouce's Mobile number
Spouce's email address
Child 1 Name 
Child 1 Sex
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Child 1 Age group
Child 2 Name  
Child 2 Sex
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Child 2 Age Group
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Child 3 Name 
Child 3 Sex
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Child 3 Age Group
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Other child or family member name, sex and age
Parish in India (optional)

I would like to set up the below payment arrangement for the church.

Church Account Name : St. Mary’s Syro Malabar Parish Melbourne West. National Australia Bank , BSB 083-347  Bank account no.  876797253

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Thank you for registering with the church. Kindly provide any other detail you may wish to provide (optional)
A copy of your responses will be emailed to the address you provided.
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