Baptism Certificate Request Form

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Baptism Certificate Request Form

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* Indicates required question

Requested by *

Your answer

Relationship to Child *

Your answer

Phone No. *

Your answer

Email Address *

Your answer

Full Name of person on certificate *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Place of Birth

Your answer

Father's Full Name *

Your answer

Mother's First and Maiden Name *

Your answer

Date of Baptism (at least Year of Baptism) *

Your answer

Reason for Request *

Your answer

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