NAME                            
							(Full name in capitals)
							
							FATHER NAME                     
							(Full name in capitals)
							
							MOTHER NAME                     
							(Full name in capitals)
          
							
							ANBIYAM				
							
							REGISTER NO			
							
							ROLL NO				
							
							STREET				
							
							
							CONTACT NO        	         
							
							VICARIATE			
							
							DIOCESE