LRB : registration
First (birth) name *
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Last (family) name *
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Date of Birth *
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Religious name *
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Office/role in the community *
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Name of the monastery *
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Congregation *
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Street address *
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City *
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Postal code / zip code *
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Country *
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Do you need a visa? *
E-Mail *
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Phone number *
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Comments / remarks *
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