Data Collection Form – Clergy Directory – Malankara Mar Thoma Syrian Church

Name*:

Personal Email:

Mobile Number:

Land Line Number with STD Code (Residence\Parsonage):

Permanent Address

Present Address (House Name with Pincode)

Home Parish

Blood Group:

Date of Birth

Name of Baskyomo:

Marital Status:

Date of Marriage

Name of the Parents of Achen:

Name of the Parents of Baskyomo:

Details of Children:

Name

Dob

Employed?

Married?

Ordained as Semmash on:

Ordained as Kassesa on:

Details of posting ( from first posting, till date in chronological order)

Name of Parish/ Office

Designation eg: Vicar, Asst Vicar, Director etc.

Year(from-to)

Details of Special Assignments (eg: Diocesan Secretary, Sabha Council Member, Governing Board Member etc)

Assignment

Year(from-to)

Educational Qualifications (in addition to BD)

Name of Course
Degree/Diploma/Masters/Doctoral etc.

Branch (Subject)

Institution

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Note:

Please attach a colour passport size photo along with this form.

Last Date of submission Last Date of submissionDecember 15, 2019