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Youth Baptism Application Form

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(A) Personal Particulars 个人资料 (13-16 years old； 13 岁 – 16 岁)
Surname 姓
Given names (as in NRIC) 名字（同身份证）
NRIC / FIN No. 身份证号码
Name to be printed on Certificate (证书上打印的名字)
Nationality (for non-Singaporeans) 国际（若非新加坡公民）
Gender 姓别
- Male
- Female
Date of Birth (DDMMMYY) 出生日期
MM slash DD slash YYYY
Mobile No 手机号码
Cell Leader (if any) 小组组长（若有）
Home Tel 电话号码
Usually Worship at 参与的崇拜时间
- English Svc
- Mandarin Svc 华语崇拜
- Youth Svc
- Filipino Svc
Email Address 电邮信箱
Mailing Address (please write clearly) 邮寄地址
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
(B) Your family members who are baptised/members of PLMC/Relationship 你已受洗的家人/PLMC的会友以及关系
Your family members who are baptised/members of PLMC/Relationship
No Name 姓名 Relationship 关系
(C) Mode of Baptism – please tick appropriately 洗礼方式 – 请在格子里打勾
By Immersion浸礼
- By Immersion浸礼
By Pouring 洒礼
- By Pouring 洒礼
Reaffirmation 坚信礼
- Reaffirmation 坚信礼
(Applicable for candidates who have been baptised and would like to reaffirm your faith in Jesus Christ. Please submit a copy of Baptism Certificate unless you were baptised at PLMC.) 已经洗礼并要再次重申你对耶稣基督的信靠。若不是在本堂接洗礼,请附上一份洗礼证证书的影印本。
I give my consent for our data to be used for the purposes of this baptism/membership Application, for any correspondence from the church, and for any photographs or videos taken to be used by the church for publicity. 我授权教会使用我们的资料于此洗礼/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。*
- I give my consent for our data to be used for the purposes of this baptism/membership Application, for any correspondence from the church, and for any photographs or videos taken to be used by the church for publicity. 我授权教会使用我们的资料于此洗礼/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。
I give permission for my child/ward to be baptised by Paya Lebar Methodist Church. 我准许我的孩子在卫理公会巴耶礼峇堂受洗

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Youth Baptism Application Form

Contact Us

(A) Personal Particulars 个人资料 (13-16 years old； 13 岁 – 16 岁)

(B) Your family members who are baptised/members of PLMC/Relationship 你已受洗的家人/PLMC的会友以及关系

(C) Mode of Baptism – please tick appropriately 洗礼方式 – 请在格子里打勾

No	Name 姓名	Relationship 关系