Baptismal Name ( ေဆးေá¾á€€á€¬á€»á€á€„္း အမည္): ...................................................................
Name (အမည္): .............................................................................................................
Father’s Name (အဖ အမည္): ........................................................................................
Educational Level (ပညာအရည္အá€á€ºá€„္း): .......................................................................
Parish (သာသနာ): .........................................................................................................
Date and Place of Baptism (ေဆးေá¾á€€á€¬á€»á€á€„္း á€á€¶á€šá€°á€žá€Šá€¹á€· ေန ့ရက္á‚ွင့္ ေနရာ): …........................................................................
Date and Place of Confirmation (á€á€›á€…á¥á€™á€á€¹ အားေပးျá€á€„္း á€á€¶á€šá€°á€žá€Šá€¹á€· ေန ့ရက္á‚ွင့္ ေနရာ): ……………………………............
Full Address (ဆက္သြယ္ရန္ လá€á€•á€¹á€…ာ အျပည့္ အစံု): ...............................................................................................................
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Ph. Number (ဖုန္း) : ................................... Email Address (အီးေမးလ္ လá€á€•á€¹á€…ာ ) : ...................................................................
Applicant's Signature ( ေလွ်ာက္ထားသူ á လက္မွá€á€¹ )
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