Family Data Sheet

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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.
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