Archdiocese of Yangon

 (Please fill in this form and send it back to the Archbishop’s Office.)

 1. The date you intend to leave (from Yangon)

……………………………………………………………………………………….

 2. The date of your arrival (back to Yangon)

……………………………………………………………………………………….

 3. The country (countries) you intend to visit.

………………………………………………………………………………………. 

4. The reason(s) of your visit.

     ……………………………………………………………………………………….

 (You may use a separate sheet if you have some detail explanation.)

5. Who will be responsible in your place during the absence?

……………………………………………………………………………………….

 6. Is the Archbishop informed already?

………………………………………………………………………………………. 

………………………………….

(Name and Signature)