Priest &Ex-Priest, Nuns Association
Registration Form of data collection
Name in Full
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Designation as Priest/Nun when you left
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Congregation /Diocese
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Father’s /Husband’s Name
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Name of the Spouse( In case Married)
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Date of Birth
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Present Residential Address
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House Name:______________________________House. No.
Location:____________________Street:_________________________
City:_______________________ District:________________________
State:______________________ PIN___________________________
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Home Town Address
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House Name:______________________________House. No.
Location:_____________________Street:_________________________
City:_________________________District:________________________
State:_______________________ PIN:___________________________
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Personal Email Address
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Alternate Email Address
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Contact Numbers
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1. Name_________________________Tel.No.
2.Name ________________________Mob.No.
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Blood Group :
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Height: Weight :
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Personal Mark of Identification
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Academic Qualification
Sr.No.
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Examination
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Subjects Taken
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University
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Year Of Passing
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Class Obtained
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Percentage
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Professional Qualification
Sr.No.
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Examination
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Subjects Taken
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University
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Year Of Passing
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Class Obtained
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Percentage
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Family Details
Sr.No
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Name of Member
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Relation
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Age
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Occupation
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Declaration
I do hereby declare that all the details furnished above are true to the best of my knowledge and belief.
Place: Name:
Date: Signature:
Donation:
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