Certificate Request

What would you like to request?

Choose the certificate. You will then fill in a short form.

Requesting:

Request Received

Your baptismal request is now in the Mission registry.

Save this reference number for follow-up.

Reprint for correction

Your details are below. Correct anything that is wrong, then click Send reprint request.

What did you correct? (optional)

Candidate

Enter the name exactly as it should appear on the certificate.

First Name

Middle Name

Last Name

Gender

Male Female

Birthdate

Birthplace

Marital Status

Father's Name

Write N/A if unknown.

Mother's Maiden Name

Write N/A if unknown.

Baptism Details

Where, when, and by whom the baptism was performed.

Baptism Date

Baptism Place

Baptized By

Start typing to find the pastor in the list, or type the name yourself.

Church Membership

Just the church name, e.g. Carlson. Pick it from the list and its address fills in.

Church Address

I confirm the information is correct and I consent to the Mission office collecting and using it solely for baptismal records, in line with the Data Privacy Act of 2012.

Child

Enter the name exactly as it should appear on the certificate.

Child's Name

Gender

Male Female

Birthdate

Birthplace

Father's Name

Write N/A if unknown.

Mother's Name

Write N/A if unknown.

Dedication Details

When, where, and by whom the child was dedicated.

Dedication Date

Officiating Minister

Start typing to find the pastor, or type the name yourself.

Church

Just the church name, e.g. Carlson. Pick it from the list and its address fills in.

Church Address

I confirm the information is correct and I consent to the Mission office collecting and using it solely for church records, in line with the Data Privacy Act of 2012.

Your details are sent securely to the Mission office and used only for church records.

What would you like to request?

Request Received

Candidate

Baptism Details

Child

Dedication Details

This name is already in the registry

Baptismal Request Received