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Parish Registration Form
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* Indicates required question
Identification Number
Your answer
Title
*
Chief
Sir
Lady
Dr.
Engr.
Arch.
Mr.
Mrs.
Ms.
Miss
Row 1
Chief
Sir
Lady
Dr.
Engr.
Arch.
Mr.
Mrs.
Ms.
Miss
Row 1
First Name
*
Your answer
Sur Name
*
Your answer
Other Names
Your answer
State of Origin
*
Your answer
LGA
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
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