Province of ……………………… ..
SOCIETY OF ST. FRANCIS DE SALES
of the sac. …………………………………………………….…. ……………………………………………………
in the House of …….… … .. ………… .. ………………… .. ………………………. ………………………………… house
number according to the Yearbook …… …………………………………………………………………
number of confreres in the House: ………………………………………………… …………………………… ..
type of work or works: ………………………………………………………………………………… ………… ..
for the three-year period [1] ……………… ..: from …………………………… .. to …………………………………… ......... ..
month, year, month, year
will replace the sac. ................................................... ...................... ................................. .. ..........
who has been director in this House for years: …………………………………………………………………
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[1] 1st or 3rd (if approval is requested for a third three-year period)