Clergy Declaration – Catholic Diocese of Port Pirie

CLERGY / RELIGIOUS with DECLARATION

To register your ministry please fill in form below.

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CLERGY/RELIGIOUS Visit with Declaration

Personal Details

Religious Title*

Write here

First Name

Last Name

Date of Birth*

Select Date ×

Email Address

Mobile Phone

Address: No Street, Town/Suburb STATE PostCode

Church Authority

Diocese or Congregation*

Title

Church Authority*

Name of Bishop / Provincial

Details of Visit

Visit From:*

Date From ×

Days of Ministry*

Number of days ministering in CDPP.

Number of days

Ministry:*

Select the ministry you provide in CDPP.

Write here

Parish:*

Select Parish of your ministry.

Write here

Ministry Credentials

Email to our office a signed copy of either:
- (No 5) Safeguarding STATEMENTS-DECLARATIONS or
- (No 6) Individual DECLARATION-DISCLOSURE

WWCC South Australia*

Do you hold current South Australian WWCC?

YES

Ministering in CDPP more than 10 days.
You are required to apply for WWCC in South Australia.

Please provide below WWCC# from South Australia.

WWCC & State*

Provide WWCC No & State of issue

WWCC No & State

WWCC Expiry Date*

Select Date ×

Security

8 plus 3 equals?*

Prove you are a human

Write here

Your Registration has been submitted

Thank you %NAME% for visiting our Diocese.
We have received your Registration for your ministry. We will respond as soon as possible.
You can view it anytime from this link below:
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CLERGY/RELIGIOUS Visit with Declaration

Personal Details

Church Authority

Details of Visit

Ministry Credentials

Email to our office a signed copy of either: - (No 5) Safeguarding STATEMENTS-DECLARATIONS or - (No 6) Individual DECLARATION-DISCLOSURE

Ministering in CDPP more than 10 days.You are required to apply for WWCC in South Australia.

Please provide below WWCC# from South Australia.

Security

Your Registration has been submitted

Email to our office a signed copy of either:
- (No 5) Safeguarding STATEMENTS-DECLARATIONS or
- (No 6) Individual DECLARATION-DISCLOSURE

Ministering in CDPP more than 10 days.
You are required to apply for WWCC in South Australia.