Signed                                            Date

I am baptised and am aged 16 years or over  become 16 on


(Those who become 16 in the next 12 months may complete the form and become eligible to be entered on the roll on their 16th birthday)

Full Name

Preferred Title (if any)

Date of Birth

I am a member of the Church of England (or a church in communion with the Church of England) and I am resident in the Parish.

I am a member of the Church of England (or a church in communion with the Church of England) and not being resident in the parish, I have habitually attended public worship in the parish during the period of six months prior to enrolment.


I Declare that

Kent

Application for Enrolment on the Church Electoral Roll

I am a member in good standing of a church (not in communion with the Church of England) which subscribes to the doctrine of the Holy Trinity and also declare myself to be a member of the Church of England and I have habitually attended public worship in the parish during the period of six months prior to enrolment

Parish of Edenbridge

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Please press the print button to print this form, sign it and send to The Vicarage, Mill Hill, Edenbridge

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