1. Imię i nazwisko:
2. Data i miejsce urodzenia:
3. Stan cywilny i rodzinny (wolny, żonaty, dzieci i ich wiek):
4. Zawód i miejsce pracy:
5. Przynależność do organizacji społeczno-politycznych:
ŻYCIE RELIGIJNE
6. Jak często przystępuje do sakramentów św.:
7. Udział w życiu Kościoła lokalnego (parafii, klasztoru):
a) do jakich należy zespołów parafialnych:
b) do jakich należy grup i stowarzyszeń religijnych:
8
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. Jak przedstawia się jego życie w rodzinie, sąsiedztwie, zakładzie pracy (czy nie jest uwikłany w jakiś konflikt):
9. Dlaczego pragnie wstąpić do FZŚ: