Form1


INFORMATION REQUIRED FOR PRINTING ON GOA ARCHDIOCESE DIRECTORY
FOR CHURCH / CHAPEL ONLY

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[Please write in Capital letters]
[Tick Mark in the box where necessary]
AP-Assistant Parish Priest PS-Priest on Staff PR-Priest Residing PH-Priest at Home


Church/Chapel Name (required)

Address (required)

Church/Chapel Contact no (required)

Church/Chapel Email Id (required)

Church/Chapel Website (required)


Name of the (required)  Parish Priest Chaplain Parochial Administrator

Name (required)

Contact No.(required)  For Directory DCSCM Records

Email(required)


Other Priests:  Assistant Parish Priest Priest on Staff Priest Residing Priest at Home

Name (required)

Contact No.(required)  For Directory DCSCM Records


Other Priests:  Assistant Parish Priest Priest on Staff Priest Residing Priest at Home

Name (required)

Contact No.(required)  For Directory DCSCM Records


Other Priests:  Assistant Parish Priest Priest on Staff Priest Residing Priest at Home

Name (required)

Contact No.(required)  For Directory DCSCM Records


Other Priests:  Assistant Parish Priest Priest on Staff Priest Residing Priest at Home

Name (required)

Contact No.(required)  For Directory DCSCM Records


Catholic Population:


Any other information: