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BCD Registration Form

Baptist Children Department a Kum 2011 a kipan naupang minkhum hun a hiai anuai a form fill up sa a Nu-le-pate'n tate sawl/tonpih (a neulamte) dia nget leh theihsak i hi.

(Department:_______________)

BCD Registration Form

Childs Name_________________________________________________

Date of Birth__________________________________________________

Fathers Name________________________________________________

Contact No._____________________Email.________________________

Mothers Name_______________________________________________

Contact No._____________________Email________________________

Names and Ages of Siblings ___________________________________________________

___________________________________________________

Address ____________________________________________

___________________________________________________

Any other information______________________________________________

Plot No 16, Pocket 6, Dwarka Sector 1A, New Delhi - 110 045
Phone: +91-9862741044 / 87309 91331 | Email: pastor@ebccdelhi.org