We want to dedicate our child

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We want to dedicate our child

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* Indicates required question

Name of Child
*

Your answer

Father’s/ Guardian’s Name
*

Your answer

Mother’s/ Guardian’s Name
*

Your answer

Address

*

Your answer

Church Attended By
*

Father

Mother

Both

Region
*

Colombo North

Colombo City

Colombo East

Colombo West

Colombo South

Suburban

Other:

Required

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