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IMPERIAL ORTHODOX KNIGHTHOOD

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PRIORY OF SAINT MICHAEL INTERNATIONAL

APPLICATION FOR ADMISSION

Surname:
Address:

Name:
Date of Birth: Telephone:
Place of Birth: Marital Status:
Nationality: Profession:
Passport / ID: (May be left blank but will be required later)
Office Address:
Religion:
Father: Telephone:
Mother:
Fax:
Academic, Military, Noble Titles, Etc:
Sponsoring Knight:
(If you don't have a sponsoring knight please contact us prior to submitting this form)
Priory:
 

Documents to be enclosed via email or regular mail:

Curriculum Vitae
3 Color Photo (ID Size)
Certificate of Birth
Certificate of Marriage

  Archbishop Haralambos
4414 Washington Road
West Palm Beach, Florida 33410
  archangelmichael@msn.com


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