Catechumen Online Registration Form

St. Francis of Assisi Church - Jebel Ali

Catechism Catechumen Registration

Dear Parent,

Welcome! Please choose your catechism group from the drop-down menu.

All other details will be sent to you by the respective Catechism Coordinator. We look forward to
welcoming your children to the new Catechetical year 2023-2024.

Thank you and God Bless!

St. Francis of Assisi Church
Jebel Ali

Parish

Personal Details

First Name

Surname

Gender

Male Female

Language

Date of Birth (DD-MM-YYYY)

Preferred Batch

Course & Batch attended earlier

Admission Grade

Birth Place

Nationality

Upload Image(File size can't exceed 1 MB)

Family Details

Father's Name

Mother's Name

Father's Email

( Is primary Email)

Mother's Email

( Is primary Email)

Father's Nationality

Mother's Nationality

Father's Domicile

Mother's Domicile

Father Mobile

Mother Mobile

Church Sui iuris / Rite

Ministries Preferred

Note: Church Sui Iuris/Rite: Those who belong to "Roman Catholic Church / Western Church" is known as "Latin Rite Church" (Detailed information about rites and churches click the link: Church/Rites )

Sacraments

Baptism Details

Baptismal Full Name

Baptized First Name as per the Certificate

Baptized Surname/Family Name

Baptismal Certificate Number

Baptism Date (DD-MM-YYYY)

Baptism Church

Baptism Parish(Enter Full Address)

Place of Baptism

Baptism Church Email

Baptism Church Phone Number

Baptism Country

Baptism State

Upload Baptism Certificate (File size can't exceed 1 MB)

FHC Details

(Mandatory for Grade 5 and above)

Upload FHC Certificate (File size can't exceed 1 MB)

Confirmation Details

Saint Name

Confirmation Date (DD-MM-YYYY)

Already Received Communion?

Yes No

Is Confirmed?

To be Confirmed

Yes No

Blessing Only

Yes No

Certificate number of Confirmation Record

Confirmation Church

Confirmation Place

Confirmation Parish

Confirmation Country

Confirmation Church Email

Minister of Confirmation

Confirmation Sponsor Name (Preferable God Parent)

Residence Address

Flat No

Building No & Name

Street No & Name

Area

City

Emirates