United Church of Christ
in the Philippines
_____________________________
(Local Church)
 male  female
Name _______________________________
(Surname First)
Date of Baptism _______________________
Baptized by __________________________
Date of Birth _________________________
Place of Birth _________________________
Father ______________________________
Mother _____________________________
Grandparents
______________________________
______________________________
Sponsors
______________________________
______________________________
______________________________
______________________________
______________________________
______________________________
Serial No. ____________________________
Book No. ____________________________
Page ________________________________
Remarks
______________________________
______________________________
______________________________
Church File ___________________________
United Church of Christ
in the Philippines
_____________________________
(Local Church)
 male  female
Name __________________________
(Surname First)
Date of Baptism __________________
Certificate of Baptism
This certifies that
Baptized by _____________________
Date of Birth ____________________ _________________________________________________________________________
Place of Birth ____________________  male  female, child of __________________________________________ and
Father __________________________ __________________________________________ , born on _____________________, 20___ at
Mother _________________________ __________________________________________, was baptized at the age of ____________
according to the baptismal rites of the UNITED CHURCH OF CHRIST IN THE PHILIPPINES,
Grandparents in the name of GOD: FATHER, SON and HOLY SPIRIT.
_________________________
Baptized this _______ day of _________________________, 20___ at the
_________________________
UNITED CHURCH OF CHRIST IN THE PHILIPPINES,
Sponsors
____________________________________________________________________
_________________________ (Municipality/City)
_________________________ ____________________________________________________
_________________________ (Province)
_________________________ of the _____________________________________________________________________________, Philippines.
_________________________ (Conference)
_________________________
___________________________________ ___________________________________
Officiating Minister Local Church
Serial No. _______________________
Book No. _______________________
Page ___________________________ ___________________________ ___________________________ ___________________________
Remarks Sponsor Sponsor Sponsor
_________________________
_________________________
___________________________ ___________________________ ___________________________
_________________________
Sponsor Sponsor Sponsor
(Conference Copy)