BABY / CHILD BAPTISM APPLICATION FORM

Requirements : d.Copy of Parents Civil Registry Marriage Certificate

1. Baby or child, max 7 years of age. (if any).
2. Godparent is catholic, has received the Baptism e. Reference Letter from Parish Priest (if you are from
Sacrament, Holy Communion and Sacrament of other parish) :
Confirmation. f. Copy of Godparent’s Baptism Certificate.
Documents requirements : g. Copy of Godparent’s Confirmation Certificate.
a. Copy of Baby/Child’s Birth Certificate. h.Copy of Godparents ID Card.
b.Copy of Father and Mother’s ID Card. i. Baptism Fee :
c. Copy of Parents’ Marriage Certificate (if any). j. Received Date :
k. Received by :

Baby/Child’s Full Name :

Baptismal Name :
Sex (Boy / Girl) :
Date / Place of Birth :
(City & country)
Father’s Full Name :
(Incl. Baptism name)
Father’s Religion : Nationality :
Father’s phone No. :
Mother’s Full Name :
(Incl. Baptism name)
Mother’s Religion : Nationality :
Mother’s phone No. :
Residential Address :
:
Residential Phone No. :
GODPARENT (only 1 is suffice).
Godfather’s Full Name :
(Incl. Baptism name)
Godfather’s Parish Origin :
(Parish/Church Name & City)
Residential Address :
Godmother’s Full Name :
(Incl. Baptism name)
Godmother’s Parish Origin :
(Parish/Church Name & City)
Residential Address :

Jakarta, Date : Date :

( ) ( )
Parent’s Name & Signature Secretariat’s Name & Signature

FILLED BY CHURCH ADMINISTRATION/SECRETARIAT :

Baptism date : Time :
Officiated by :
Baptism Registration No. :
Note from Secretariat :

Ver 02/2021