Family Name *
Parish Ward/Unit *—Please choose an option—St. Kuriakose Ward, KakkanadHoly Family Ward, KalamasseryHoly Angels Ward, KaloorSt. Joseph Ward, PalarivattomSt. Mary’s Ward, ThevaraSacred Heart Ward, ThripunithuraSt. Thomas Ward, Vyttila
Old/Native Parish *
Present Address *
Head of Family *
Contact Number *
Blood Group *—Please choose an option—A+A-B+B-AB+AB-O+O-
Occupation *
Family Member *
Relation with Head of Family *
Contact Number (Optional)
Add/remove a family member -+
Kindly upload one or two family photos in HORIZONTAL layout. We will select the best one for the members list. The maximum file-size should not exceed 10MB *
Email id
Declaration: All details provided in this form would be kept confidential and would be accessible only to members of our Church.
By submitting this form, you are agreeing to allow St. Kuriakose Knanaya Catholic Church and its representatives to use these details for the purpose of creating a Members List.
Fields marked with * are mandatory fields
