Family Registration Form

Welcome to our Church.
Click Submit Form to send this information to St Peter Canisius, International Catholic Parish Jakarta.

Head of Household

Unlisted
Unlisted
Unlisted
Unlisted

Sacraments

Name
Recieved Date Country City Diocese Church/Parish name
Baptism
1st Comm
Confirm
Marriage

Spouse

Unlisted
Unlisted
Unlisted
Unlisted

Sacraments

Name
Recieved Date Country City Diocese Church/Parish name
Baptism
1st Comm
Confirm
Marriage

Current Family Address


Family Current Address


Family Permanent Home Address


Family Phone Numbers

Unlisted
Unlisted

Email


Member 1

Unlisted
Unlisted
Unlisted
Unlisted

Sacraments

Name
Recieved Date Country City Diocese Church/Parish name
Baptism
1st Comm
Confirm
Marriage


Click Submit Form to send this information to St Peter Canisius, International Catholic Parish Jakarta.

Please ensure all data has been checked thoroughly
If you have any question, please contact our parish office WA +628118039728

Get In Touch With Us
+62-21-3917806, +62 21 39899623
office@expatcatholicparish.org