My God and my Father, Lord of life and death, who, for the just punishment of our sins, with an immutable decree determined that all men must die, look upon me, here prostrated before you.
I detest with all my heart my past sins, for which I deserved death a thousand times, which I accept now in order to expiate them and to obey your loving will.
I will gladly die, Lord, at the moment, in the place and in the way you wish, and I will make the best use of the days of life that remain to me until that time to fight against my flaws and increase my love for you, to break the bonds that tie my heart to creatures, to prepare my soul to appear in your presence; and from now on I surrender without reservation into the arms of your paternal providence.