Total: 4 pages (Fields Marked are mandatory)

Family Member Details Form

(as entered in the family details form)

(as entered in the family details form)

(as entered in the family details form)

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

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.

(In ‘dd-mm-yyyy’ format.

E.g.: 16-06-1970)

(if they are not residing with the member)

(if they are not residing with the member)

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

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

(Type ‘Male’ or ‘Female’)

(Type ‘Yes’ or ‘No’)

(Type ‘Yes’ or ‘No’)

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

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

E.g. : MSc, MEd)

(Type ‘Yes’ or ‘No’)

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

(Type ‘Yes’ or ‘No’)

(If working in a firm of Diocese)

(If working in a firm of Diocese)

(If working in a firm of Diocese)

(If working in a firm of Diocese)

(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.

(Type the position in Parish Council & Pastoral Council)

E.g.: Parish Council Member

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

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