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814A - 1 Sep 2013 Page 1
Baptism Certificate Template — Appendix 814A
THE HOLY SACRAMENT OF BAPTISM
This is to Certify
That
Given Names(s)
Last Name
Child Of
Father: Given Name(s)
Last Name
and
Mother: Given Name(s)
Maiden Name
Born in
City/Town
Province
Country
on
Date (dd/mmm/yy)
WAS BAPTIZED
ACCORDING TO THE RITE OF THE ROMAN CATHOLIC CHURCH
at
Roman Catholic Church
Church Name
in
City/Town
Province
Postal Code
Country
on
Date (dd/mmm/yy)
by
Priest
and
Sponsor: Given Name(s)
Last Name
and
Sponsor: Given Name(s)
Last Name
AND RECORDED IN OUR BAPTISMAL REGISTER
Date (dd/mmm/yy)
Pastor’s Signature
Pastor’s Name (printed)
Parish Name
Street Address
City/Town
Province
Postal
Code
See reverse for notations
SEAL