contact-form | Marth Mariam Mission Farnborough

Contact Form

THE CATHOLIC SYRO-MALABAR EPARCHY OF GREAT BRITAIN

Issued by

The Trustees-CSMEGB, Bishop’s Office, St. Ignatius Square, Preston, Lancashire, UK, PR1 1TT Tel: +441772 587186, E-mail: chancery@csmegb.org, Website: www.eparchyofgreatbritain.org

(Charity Registration No. 1173537) (FN-013)

EPARCHY-PARISH/MISSION/PROPOSED MISSION MEMBER REGISTRATION FORM

Name of the Parish/Mission/Proposed Mission: Marth Mariam Mission Farnborough.

[NOTE: Please fill in as much information as possible. If in future any validation of the original document is needed, we will need to see the same before we can provide you with any certificate. Please provide the information in BLOCK CAPITALS. Kindly use one form per family. This form should also be used by single individuals.

Children aged 16 and above need to sign in the form separately]

Please select the number of family members

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Title

First Name

Surname

Baptismal Name

Relation

Date of Birth

Date of Chrismation

Date of Marriage

Date of Holy Baptism

Date of Holy Communion

Postal Address in the UK

Town

City

Postcode

Tel No.

Mobile No.

Please Choose Whichever of the Following Applies:

The Syro-Malabar Catholic Church Member and Updating Information in the UK:

New Member:

If so, Kindly Name the Previous Address Details Below:

Tel No. ( if any)

Name of the Parish in India/Previous Place:

Name of the Diocese/Eparchy in India/Previous Place:

If so, Other Information you Feel Useful to us:

Individual’s Consent Form

Your privacy is important to us and by signing this form; you are confirming that you are explicitly consenting to the Catholic Syro-Malabar Eparchy of Great Britain in holding and processing your personal data/special category data for the following purposes: – (please tick the boxes below where you give consent)

• I consent to the Eparchy in storing/managing/processing my personal data/special category data for the purposes of religious activities organized by the Catholic Syro-Malabar Eparchy of Great Britain, including management of its members’ directory:

• To share my contact details with the Eparchy’s Regional/Parish/Mission/Proposed Mission anywhere within the Eparchy in the UK as part of its activities:

• To keep me informed about news, events, activities and services of the Catholic Syro-Malabar Eparchy of Great Britain (You can unsubscribe to this at any time by letting us know in writing by e-mail/post)

Post

Phone

Social Media

• I understand and give consent for photos of

myself:

children:

named above to be displayed in printed form within the church buildings and premises.

• I understand and give consent for photos of

myself:

children:

named above to be displayed online (e.g. website, social media).

Confirmation & Declaration: I hereby agree to adhere to the guidelines and regulations of the Catholic Syro-Malabar Eparchy of Great Britain:

Parents/Individuals/Children (16 & above), Name & Sign Below:

1. Name & Sign:

2. Name & Sign:

3. Name & Sign:

4. Name & Sign:

Date:

5. Name & Sign:

6. Name & Sign:

7. Name & Sign:

8. Name & Sign:

YOUR RIGHTS: Withdrawing Consent: If you change your mind and would like to exercise your individual rights by withdrawing consent, you can do so by contacting the Eparchial office (by e-mail/post) in writing directly or to the respective Parish/Mission/Proposed Mission. However, your rights are not absolute; the Eparchy can withhold some of the information processed as per the UK legislative requirements.

THE CATHOLIC SYRO-MALABAR EPARCHY OF GREAT BRITAIN complies with its obligations under GDPR/DPA 2018 by processing data lawfully; keeping personal data up to date; by storing and destroying it securely; by not collecting or retaining excessive amounts of data; by protecting personal data from loss, misuse, unauthorized access and disclosures and by ensuring that appropriate technical measures are in place to protect personal data. For more information on how we use your data, please read our ‘Privacy

Notice’ which can be accessed on our website (http://www.eparchyofgreatbritain.org/ )