THIS IS TO CERTIFY THAT The Baptismal Register records the following:

__________________________________ _____________________________and _________________________________was born ____________________________and baptised on _________________________ by __________________________________ at Holy Trinity Catholic Church 16 Stiemens Street, Braamfontein, Johannesburg, South Africa

___________ ___________

Sponsor Sponsor

______________________ Number in Register

Date of Confirmation Date of Marriage

child of

SAMPLE C

ERTIFICATE

Surname Nomen Christian Name(s)

Date of Birth Dies natalis Place of Birth Locus natalis Date of Baptism Baptismi celebrati Change of Rite Mutatio Ritus Father Pater Religion/Rite of Father Patris Religio/Ritus Mother (Maiden Name*) Mater

Religion/Rite of Mother Matris Religio/Ritus Catholic Sponsor(s) Patrinus Catholicus Matrina Catholica Christian Witness Testis Christianus Minister of Baptism Baptismi Minister Confirmation Confirmationis collatae Marriage(s) Matrimonii celebrationis

*

SAMPLE C

ERTIFICATE