Formulir Sakramen Komuni Pertama

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PAROKI IMANUEL SANGGENG MANOKWARI

No. Urut : ......................... *) DIKUMPULKAN TERAKHIR PADA 14 APRIL 2024

FORMULIR PENDAFTARAN CALON PENERIMA KOMUNI PERTAMA


(Minimal sudah kelas 5 SD / Usia 11 Tahun)

1. Nama Lengkap : ..............................................................................................................................................................................................

2. Tempat / Tanggal Lahir : ..............................................................................................................................................................................................

3. Usia : ..............................................................................................................................................................................................

4. Lingkungan : ..............................................................................................................................................................................................

5. Alamat Rumah : ..............................................................................................................................................................................................

..............................................................................................................................................................................................

6. Telepon / HP (WAJIB) : ..............................................................................................................................................................................................

7. Sakramen Baptis

a. Di Gereja / Tahun : ..............................................................................................................................................................................................

b. Nomor Buku Baptis : ..............................................................................................................................................................................................

8. Nama Orang Tua

a. Ayah (Nama Lengkap) : ..............................................................................................................................................................................................

b. Ibu (Nama Lengkap) : ..............................................................................................................................................................................................

9. Perkawinan Orang Tua

a. Di Gereja / Tahun : ..............................................................................................................................................................................................

10 . Komuni Pertama Tanggal *) : 2 JUNI 2024

Manokwari, ......................................................................

Ketua Lingkungan Orang Tua Calon Komuni Pertama

.......................................................................... ( .................................................................................... )

Catatan Penting :

1. MELAMPIRKAN FOTOCOPI SURAT BAPTIS

2. BERSEDIA HADIR 100% DALAM PEMBINAAN

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