APPLICATION FORM

The Director,

Diocesan Catechetical Centre,

4 Kane Road,

Bandra,

MUMBAI - 400 054.

Dear Rev. Father,

I would like to enrol myself for the Institute of Ministry of Faith Enrichment.  I am willing to commit myself fully to this course, and abide by the requirements.  Enclosed herewith please find:

a)       Letter of recommendation from my Principal/Parish Priest/Inst. Head

b)       Registration fee of Rs. 50/- (in cash, non refundable).

I am being deputed and sponsored by _______________________________________School/Parish.

Should I be found eligible to attend the course, I could be contacted at the following address and tel. no.

NAME (BLOCK) _______________________________________________________________________

ADDRESS  (BLOCK) ___________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Tel. No. (Resi.) ___________________________________ (Off.) _______________________________

Mobile # ______________________________ E-mail id: _____________________________________

__________________________                                                                    ____________________

Applicant's Signature                                                                                         Date