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Participant
Participant form
Weekend:
CHOICE 112 Bandung (15 Jul 22 - 17 Jul 22)
Full name:
*
Nickname:
*
Place of birth:
*
Date of birth:
*
Day:
*
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Month:
*
January
February
March
April
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June
July
August
September
October
November
December
Year:
*
1969
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2004
Gender:
*
Male
Female
Place of baptism:
Date of baptism:
Day:
1
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30
31
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
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1997
1998
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Address:
*
Where you stay at the moment.
Web page addresses and e-mail addresses turn into links automatically.
Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
Lines and paragraphs break automatically.
More information about formatting options
City:
*
Postal code:
*
Home phone number:
Home phone number:
Indonesia (+62)
Mobile phone number:
*
Mobile phone number:
*
Your WhatsApp number.
Indonesia (+62)
Email:
*
Your most frequently used email address. We will only send important information regarding the weekend you are participated in.
Parish:
*
Parish where you stay at the moment. If you are not a Catholic, please enter your religion.
I am an active member in my church
Name of church activity:
*
Multiple activities separated by comma.
Occupation:
*
What you do for a living.
I have friends or family participating the same weekend
Full name of your friends or family:
*
Multiple names separated by comma. Individual form submission is still required.
Sponsor's full name:
*
The name of your sponsor. Who recommend you to participate in this weekend.
Nomor telepon seluler sponsor:
Nomor telepon seluler sponsor:
Indonesia (+62)
Sponsor's role:
*
A Priest
Marriage Encounter Team
CHOICE Team
A Nun
Marriage Encounter Participant
CHOICE Participant
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Who your sponsor is.
Sponsor's weekend:
*
Weekend which your sponsor participated in.
under construction
Picture:
*
Maximum file size:
10 MB
Allowed extensions:
png gif jpg jpeg
Images must be larger than 300x300 pixels
Upload your picture.
Identification card:
*
Maximum file size:
10 MB
Allowed extensions:
png gif jpg jpeg
Proof of payment:
*
Maximum file size:
10 MB
Allowed extensions:
png gif jpg jpeg
Upload your proof of payment.
Venue:
under construction
under construction
I have never been married, I have never participated in Weekend CHOICE before, I have filled above form honestly, and I have read and understand all information above.
