Total: 4 pages (Fields Marked are mandatory)



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Knanaya Catholic Archdiocese of Kottayam


Total: 4 pages

(Fields Marked * are mandatory)


Family Member Details Form





Parish: *

(as entered in the family details form)



Ward: *

(as entered in the family details form)



Family: *

(as entered in the family details form)



First Name: *



Middle Name:



Last Name:



Head of the family?

(If this member is the head of this family, type ‘Yes’. Otherwise type ‘No’)



Relation:

Of (First box: type the relation type. E.g.: ‘Wife’, ‘Son’, ‘’ ‘Daughter’, ‘Brother’ etc…

Second box: type the name of the member(of this

Family) with whom this relation exists. For example, if this member is the wife of family member ‘Mathew John’ , then type ‘Wife’ in first box and ‘Mathew John’ in second box.)

NB: If this member is the head of the family, these boxes can be left blank.


Baptism Name:



Date of Birth:

(In ‘dd-mm-yyyy’ format.

E.g.: 16-06-1970)


Father’s Name:



Mother’s Name:



Family name of Parents:

(if they are not residing with the member)





Parish of Parents:

(if they are not residing with the member)





Mobile No.1:

(Country Code in 1st box & number in 2nd box)



Mobile No.2:

(Country Code in 1st box & number in 2nd box)



Email ID 1:



Email ID 2:





Gender:

(Type ‘Male’ or ‘Female’)



Missionary?

(Type ‘Yes’ or ‘No’)



Residing within the parish territory?

(Type ‘Yes’ or ‘No’)



Country:



Place:



Status:

(Type ‘Single’, ‘Married’, ‘Widow’, ‘Widower’, ‘Divorced’, ‘Priest’, ‘Nun’, ‘Brotherhood’, ‘Aspirant’, ‘Student’, ‘Child’, ‘Seminarian’, ‘Separated’ or ‘Novice’)



Qualification:

(If you have more than one qualification, please type all those separated by comma.

E.g. : MSc, MEd)


Specialization:



Employed?

(Type ‘Yes’ or ‘No’)



Occupation type:

(Type ‘Central Government’, ‘Government’, ‘Semi-government’, ‘Corporate’, ‘Private’ or ‘Parish’)



Occupation:



Working in a firm of Diocese?

(Type ‘Yes’ or ‘No’)



Type of Diocese Occupation:

(If working in a firm of Diocese)



Diocese Occupation:

(If working in a firm of Diocese)

















Diocese address:

(If working in a firm of Diocese)



Diocese Phone:

(If working in a firm of Diocese)



Association Memberships:

(Type the position in the associations like KCYL, KCSL, CML, KCWA etc…)

E.g. : KCYL member

If more than one, please enter all those separated by comma.



Council Memberships:

(Type the position in Parish Council & Pastoral Council)

E.g.: Parish Council Member

If more than one, please enter all those separated by comma.



Alternate Address:

(If your current address of residence is different from your family address)




Previous house:



Previous Parish:



Office Phone:



Fax:



Hobbies:



Blood Group:



Achievements:






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