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St. George Jacobite Syrian Church Cheruthottukunnel

Under the Holy Apostolic See of Antioch and All the East

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Directory Form

Church Members' Directory Submission Form - TEST

Master

Name*

House Name*

Address*

Unit Name*

Date of Birth

Blood Group*

Phone*

Email

Add Family Member?*

Yes

No

Address

St. George Jacobite Syrian Church, Cheruthottukunnel

Pinarmunda, Peringala P.O,

Ernakulam, Kerala, India

cheruthottukunnelpally@gmail.com

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