THE CHRISTIAN AND MISSIONARY ALLIANCE
CHURCHES OF THE PHILIPPINES (CAMACOP)
CERTIFICATE OF CHILD DEDICATION
Individual Membership Form A
( A rite approximate to Infant Baptism of the Roman Catholic Church )
This certificate of dedication is hereby issued to HARIETH ZYRENE ALBINDA PAMPLONA for undergoing the Rite
of Child Dedication in the name of the Father, the Son, and the Holy Spirit, after a satisfactorily affirmation of faith in
Jesus Christ as Savior, Sanctifier, Healer and Coming King under the administration of the Denomination.
Pertinent information are as follows:
a.) DATE OF DEDICATION b. ) OFFICIATING MINISTER
JANUARY 9, 2020 PTR. MANUEL ACTOY
C.) PLACE OF DEDICATION:
SAGACAD, DINAS, ZAMBOANGA DEL SUR
D.) LOCAL CHURCH SPONSORING:
SAGACAD ALLIANCE CHURCH
Hereunder are the personal information on the dedicated child:
A. DATE OF BIRTH B. ) SEX C.) TYPE OF BIRTH
SEPTEMBER 21, 2018 FEMALE SINGLE
D.) PLACE OF BIRTH
MARGOSATUBIG REGIONAL HOSPITAL
E.) NUMBER OF SIBLINGS: F.) BIRTH ORDER:
G.) Father’s Name H. FATHER’S CITIZENSHIP:
WILTER BARAN PAMPLONA Filipino
I.) FATHER’S RELIGION J. FATHER’S OCCUPATION:
CAMACOP
K. FATHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
L. MOTHERS MAIDEN NAME M. MOTHER’S CITIZENSHIP
FRENCIS TAMBOBOY ALBINDA Filipino
N. MOTHER’S OCCUPATION: O. MOTHER’S RELIGION
CAMACOP
P. MOTHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
Q. PARENT’S DATE & PLACE OF MARRIAGE:
R. STATUS OF PARENTS MARRIAGE
Issued this 5th day of NOVEMBER 2020 year in the office of the Senior Pastor of the sponsoring local church which is Sagacad Alliance Church,
located in Sagacad, Dinas , Zamboanga del Sur.
Witnesses:
PTR. MANUEL ACTOY
Senior pastor’s Name over Printed Name
JOSEPHINE M. ACTOY Book No._________________
Page No. _________________
Series of _________________
MADELYN VILLACORTA
THE CHRISTIAN AND MISSIONARY ALLIANCE
CHURCHES OF THE PHILIPPINES (CAMACOP)
CERTIFICATE OF CHILD DEDICATION
Individual Membership Form A
( A rite approximate to Infant Baptism of the Roman Catholic Church )
This certificate of dedication is hereby issued to HARIETH ZYRENE ALBINDA PAMPLONA for undergoing the Rite
of Child Dedication in the name of the Father, the Son, and the Holy Spirit, after a satisfactorily affirmation of faith in
Jesus Christ as Savior, Sanctifier, Healer and Coming King under the administration of the Denomination.
Pertinent information are as follows:
a.) DATE OF DEDICATION b. ) OFFICIATING MINISTER
JANUARY 9, 2020 PTR. MANUEL ACTOY
C.) PLACE OF DEDICATION:
SAGACAD, DINAS, ZAMBOANGA DEL SUR
D.) LOCAL CHURCH SPONSORING:
SAGACAD ALLIANCE CHURCH
Hereunder are the personal information on the dedicated child:
A. DATE OF BIRTH B. ) SEX C.) TYPE OF BIRTH
SEPTEMBER 21, 2018 FEMALE SINGLE
D.) PLACE OF BIRTH
MARGOSATUBIG REGIONAL HOSPITAL
E.) NUMBER OF SIBLINGS: F.) BIRTH ORDER:
G.) Father’s Name H. FATHER’S CITIZENSHIP:
WILTER BARAN PAMPLONA Filipino
I.) FATHER’S RELIGION J. FATHER’S OCCUPATION:
CAMACOP
K. FATHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
L. MOTHERS MAIDEN NAME M. MOTHER’S CITIZENSHIP
FRENCIS TAMBOBOY ALBINDA Filipino
N. MOTHER’S OCCUPATION: O. MOTHER’S RELIGION
CAMACOP
P. MOTHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
Q. PARENT’S DATE & PLACE OF MARRIAGE:
R. STATUS OF PARENTS MARRIAGE
Issued this 5th day of NOVEMBER 2020 year in the office of the Senior Pastor of the sponsoring local church which is Sagacad Alliance Church,
located in Sagacad, Dinas , Zamboanga del Sur.
Witnesses:
PTR. MANUEL ACTOY
Senior pastor’s Name over Printed Name
JOSEPHINE M. ACTOY Book No._________________
Page No. _________________
Series of _________________
MADELYN VILLACORTA
THE CHRISTIAN AND MISSIONARY ALLIANCE
CHURCHES OF THE PHILIPPINES (CAMACOP)
CERTIFICATE OF BAPTISM
Individual Membership Form B
This certificate of dedication is hereby issued to HARIETH ZYRENE ALBINDA PAMPLONA for undergoing the
Water Baptism in the name of the Father, the Son, and the Holy Spirit, after a satisfactorily affirmation of faith in Jesus
Christ as Savior, Sanctifier, Healer and Coming King under the administration of the Denomination.
Pertinent information are as follows:
a.) DATE OF BAPTISM b. ) OFFICIATING MINISTER
JANUARY 9, 2020 PTR. MANUEL ACTOY
C.) PLACE OF BAPTISM:
SAGACAD, DINAS, ZAMBOANGA DEL SUR
D.) LOCAL CHURCH SPONSORING:
SAGACAD ALLIANCE CHURCH
Hereunder are the personal information on the dedicated child:
A. DATE OF BIRTH B. ) SEX C.) TYPE OF BIRTH
SEPTEMBER 21, 2018 FEMALE SINGLE
D.) PLACE OF BIRTH
MARGOSATUBIG REGIONAL HOSPITAL
E.) NUMBER OF SIBLINGS: F.) BIRTH ORDER:
G.) Father’s Name H. FATHER’S CITIZENSHIP:
WILTER BARAN PAMPLONA Filipino
I.) FATHER’S RELIGION J. FATHER’S OCCUPATION:
CAMACOP
K. FATHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
L. MOTHERS MAIDEN NAME M. MOTHER’S CITIZENSHIP
FRENCIS TAMBOBOY ALBINDA Filipino
N. MOTHER’S OCCUPATION: O. MOTHER’S RELIGION
CAMACOP
P. MOTHER’S LONGEST RESIDENCE
SAGACAD, DINAS, ZAMBOANGA DEL SUR
Q. PARENT’S DATE & PLACE OF MARRIAGE:
R. STATUS OF PARENTS MARRIAGE
Issued this 5th day of NOVEMBER 2020 year in the office of the Senior Pastor of the sponsoring local church which is Sagacad Alliance Church,
located in Sagacad, Dinas , Zamboanga del Sur.
Witnesses:
PTR. MANUEL ACTOY
Senior pastor’s Name over Printed Name
JOSEPHINE M. ACTOY Book No._________________
Page No. _________________
Series of _________________
MADELYN VILLACORTA
