Pilgrimage Registration Form
Important: Send your Passport Size Photograph to paffairs@cbcn.org with your Name & Signature.
Surname: Other Names: Marital Status: Sex: Maiden Name: Nationality: Date & Place of Birth: Occupation: Home Address: Father's Name: Mother's Name: Telephone NO: E-mail: Diocese: Passport NO: Issued On: Valid Until: Issued At: Name of Spouse: Date & Place of Birth: Occupation: Telephone NO: Children (Names & Dates of Birth): State Countries you have traveled to before: State in Brief your reason for making this pilgrimage:
Declaration: "I hereby declare that the information contained herein are true and correct."
Date: Name: