Infant Baptism Form Protected - PLMC

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Infant & Child Baptism Application

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(A) Particulars of Child孩童的资料 (12 years old and below; 12 岁及以下)
Full Name of Child 婴孩的姓名
Name to be printed on Baptism Certificate （礼证书上打印的名字）
Gender 姓别
- Male 男
- Female 女
Birth Cert. No (Attach Birth Cert Copy) 出生证号码（附上出生证书影印本）
Date of Birth (DD/MMM/YY) 出生日期
DD slash MM slash YYYY
Age 年龄
Silverboxes/Shiny Tots Session (Please tick if attending) 若参与银礼盒或幼儿班，请在适当的格子打勾
- 9am 上午9 点
- 11.15am 上午11 点15分
(B) Particulars of Parents
Full Name of Father 父亲的姓名
Surname姓

Father
Baptised or Member at PLMC? 在本堂洗礼或是本堂会员
- Yes 是
- No 否
Father
Email Address 电邮信箱

Father
Mobile No 手机号码
Father
Full Name of Mother母亲的姓名
Surname姓

Mother
Baptised or Member at PLMC? 在本堂洗礼或是本堂会员
- Yes是
- No否
Mother
Email Address 电邮信箱

Mother
Mobile No 手机号码
Mother
Mailing Address 邮寄地址
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Attach a copy of your baptism certificate if you were not baptised at PLMC 若您不是在本堂受洗，请附上一份您的洗礼证书影印本
Drop files here or

Max. file size: 512 MB, Max. files: 5.
(C) Siblings who are baptised at PLMC/Relationship 在PLMC受洗的兄弟姐妹以及关系
Siblings who are baptised at PLMC/Relationship
No Name姓名 Relationship关系
I give my consent for our data to be used for the purposes of this baptism application/membership application, for any correspondence from the church, and for any photographs or videos taken to be used by the church for publicity.*
- I give my consent for our data to be used for the purposes of this baptism application/membership application, for any correspondence from the church, and for any photographs or videos taken to be used by the church for publicity. 我受权教会使用我们的个人资料于此洗礼/会员申请，教会的任何通信，以及教会用于宣传的任何照片或视频。