Transcription of DUBAI MALAYALEE CATHOLIC CONGREGATION St. Mary’s …
1 DUBAI MALAYALEE CATHOLIC CONGREGATION St. Mary s CATHOLIC Church, DUBAI Parishioner Registration form PLEASE USE CAPITAL LETTERS TO FILL IN THIS form M C C REGN PARISH REGN : ( ) Name as per Baptism* (full name): _____ Name as per Passport* (full name): _____ Date of Birth* (dd-mm-yyyy): _____ Gender* (Male or Female): _____ Resident Type* (individual or family): _____ Marital Status* (Single or Married): _____ Mother Tongue*: _____ Nationality*: _____ Emirate ID No*: _____ Email: _____ Are You a Primary Contact of Your Family? * ( Yes or No): _____ Mobile*: _____ Profession/Designation*: _____ Community* (choose from the below): _____ (Malayalam Latin, Syro Malabar, Syro Malankara Others) Family Details Church Sui Iuris / Rite* (please tick the applicable) : Latin Rite , Syro-Malabar Rite, Syro-Malankara Rite UAE Presence Since* (mm-yyyy): _____ Active in this Parish From* (dd-mm-yyyy): _____ Family Alias* (Family name known as): _____ Father's Name*: _____ Mother's Name*: _____ Residence Address in DUBAI Flat No* : _____ Building No & Name* : _____ Area : _____ City* : _____ Place* ( DUBAI / Sharjah / Ajman) : _____ Phone 1*.
2 _____ IF FAMILY IS IN DUBAI , PLEASE GIVE THE FOLLOWING DETAILS: Name of the Spouse : Date of Birth : Emirate ID No : Name of the child : Date of Birth : Emirate ID No : Name of the child : Date of Birth Emirate ID No : Name of your parish/church in India: ---------------------------------------- ----------------------------------- Name of your Diocese / Archdiocese (Bishop s House): ---------------------------------------- --------- Permanent address in India: ---------------------------------------- ---------------------------------------- ------- ---------------------------------------- ---------------------------------------- ---------------------------------------- -------- Pin Code : Tel.
3 No.. Signature : Date : FOR OFFICIAL USE REGISTRATION FEE FOR SINGLE: form checked and details collected ( Online form ) Yes No REGISTRATION FEE FOR FAMILY: form checked and details collected ( Online form ) Yes No RECEIVED BY : (COMM. MEMEMBER / SPIRITUAL DIRECTOR)
