St. Jude Church , Udayanagar, Bangalore - 560016 FAMILY DATA SHEET AREA/UNIT : RESIDENCE TELEPHONE PARISH ADDRESS FAMILY COMPUTER ID ANCESTRAL FAMILY NAME & ADDRESS TYPE OF RESIDENCE Owned Rented NATIVE PARISH NATIVE DIOCESE/ARCHDIOCESE Head Of The Family NAME BAPTISAM NAME GENDER FEMALE E-MAIL MALE TELEPHONE MOBILE NO BLOOD GROUP If not residing with family, mention [Away on work / Married and gone / Jointed Priesthood / Brother / Nun / Others…………………….] EDUCATION TYPE OF PROFESSION IF BUSINESS, TYPE OF BUSINESS Born on DATE Baptized on Date Confirmed on Date PLACE Parish FATHER Diocese MOTHER Godfather Parish Married / Ordained / File views on Date Witness 1 Godmother Diocese Parish Diocese Witness 2 2 Ancestral Family Name & Native address RELATION TO HEAD OF THE FAMILY NAME BAPTISAL NAME Male TELEPHONE[O] MOBILE NO GENDER Female E-MAIL BLOOD GRP If not residing with Family, mention [Away on Work/Married and gone / Jointed Priesthood / Brother Nun / Others…………..] EDUCTION TYPE OF PROFESSION If Business, Type of Business Born On DATE Baptized on Date Confirmed On Date PLACE Parish Diocese Parish Married / Ordained / Final Vows on Parish Witness 2 Date Witness 1 FATHER MOTHER Godfather Mother Diocese Diocese 3 RELATION TO HEAD OF THE FAMILY NAME BAPTISAL NAME Male TELEPHONE[O] GENDER Female MOBILE NO BLOOD GRP E-MAIL If not residing with Family, mention [Away on Work/Married and gone / Jointed Priesthood / Brother Nun / Others…………..] EDUCTION TYPE OF PROFESSION If Business, Type of Business Born On DATE Baptized on Date Confirmed On Date Date Witness 1 4 RELATION TO HEAD OF THE FAMILY NAME TELEPHONE[O] PLACE Parish Diocese FATHER Godfather Parish Married / Ordained / Final Vows on Parish Witness 2 BAPTISAL NAME MOBILE NO MOTHER Male Mother Diocese Diocese GENDER Female BLOOD GRP E-MAIL If not residing with Family, mention [Away on Work/Married and gone / Jointed Priesthood / Brother Nun / Others…………..] EDUCTION TYPE OF PROFESSION If Business, Type of Business Born On DATE Baptized on Date Confirmed On Date PLACE Parish FATHER Diocese MOTHER Godfather Mother Parish Diocese Married / Ordained / Final Vows on Parish Diocese Witness 2 Date Witness 1 5 RELATION TO HEAD OF THE FAMILY NAME GENDER Male Female BAPTISAL NAME TELEPHONE[O] MOBILE NO BLOOD GRP E-MAIL If not residing with Family, mention [Away on Work/Married and gone / Jointed Priesthood / Brother Nun / Others…………..] EDUCTION TYPE OF PROFESSION If Business, Type of Business Born On DATE Baptized on Date Confirmed On Date PLACE Parish Diocese Parish Date Witness 1 6 RELATION TO HEAD OF THE FAMILY NAME FATHER MOTHER Godfather Mother Diocese Married / Ordained / Final Vows on Parish Diocese Witness 2 Male BAPTISAL NAME TELEPHONE[O] GENDER Female MOBILE NO BLOOD GRP E-MAIL If not residing with Family, mention [Away on Work/Married and gone / Jointed Priesthood / Brother Nun / Others…………..] EDUCTION TYPE OF PROFESSION If Business, Type of Business Born On Baptized on Confirmed On DATE Date Date PLACE Parish FATHER Diocese Parish Godfather MOTHER Mother Diocese Married / Ordained / Final Vows on Date Witness 1 Parish NAME OF PERSON FILLING THE FORM MEMORIAL DATES OF PAST FAMILY MEMBERS Name and Relation to Head Diocese Witness 2 SIGNATURE OF PERSON FILLING THE FORM Date of Death OTHER IMPORTANT DATES OF THE FAMILY NOT MENTIONED ELSEWHERE ON THIS FORM NAME DATE Cemetery where buried EVENTS FOR OFFICE USE MOTHLY AST DATE FORM RCVD FORM ENTRD FORM VERFD This form should be filled clearly using BLOCK LETTERS. For families with more than five members please use additional forms. Members include all people residing within the same household. Non resident family members can be included if they are studying or working abroad or who has become priest, nuns and brothers. All information will be stored in the parish data base and kept strictly confidential.