Tel: 085-417370 (convent )
    h/p 014-3942425 (Sister Usula)

I am a baptized Catholic, and I would like one of the sisters to visit me/pray  and help me in caring /praying for
 my sick/aged/elderly   __________________

Your Name ________________________________________
 

Your Address________________________________________
 

                    _________________________________________
 

                   __________________________________________

Your Telephone number____________________  h/p____________________
 

Information of  Person(s) you like us to visit
 

Name___________________________________

1. Hospital______________   Ward number______________ Male/Female________

2. If at Home:
 
    Address____________________________________

    Tel number _____________________________________
 

Other information.....................................................................
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