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 ____________________ MICHELLE D. PECO
_________________________________________________________________________
Place of Birth ____________________  male  female, child of __________________________________________
LEO P. PECO and
Father __________________________ __________________________________________
DIONESIA D. PECO , born on _____________________, 20___ at
JULY 14 1994
Mother _________________________ __________________________________________,
MACOPA, VILLAREAL, SAMAR was baptized at the age of ____________
29 YR.
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 _______
06 day of _________________________,
SEPTEMBER 20___ at the
2023
_________________________
UNITED CHURCH OF CHRIST IN THE PHILIPPINES,
Sponsors
VILLAREAL
____________________________________________________________________
_________________________ (Municipality/City)
_________________________ SAMAR
____________________________________________________
_________________________ (Province)
_________________________ SAMAR ISLAND DISTRICT CONFERENCE
of the _____________________________________________________________________________, Philippines.
_________________________ (Conference)
_________________________
REV. RUTH C. DONASCO
___________________________________ UCCP MACOPA
___________________________________
Officiating Minister Local Church
Serial No. _______________________
Book No. _______________________
Page ___________________________ GERRY ABUCAY
___________________________ SUSAN LLARENAS
___________________________ ___________________________
Remarks Sponsor Sponsor Sponsor
_________________________
_________________________
___________________________ ___________________________ ___________________________
_________________________
Sponsor Sponsor Sponsor
(Conference Copy)