Parochial Registers and Records Measure 1978

No. 1U.K. Register of Baptisms Administered in the Parish of in the Diocese of

In the † of

Insert appropiate local government area.

* In block capitals.

Entry No.Date of birthDate of baptismChristian name and surname*Father’s Christian name and surname*Mother’s Christian name and surname*AddressFather’s occupationMother’s occupationGodparentsOfficiating minister