Electoral Roll Application Form  

The Electoral Roll is the list of names and addresses of the members of the church, ie every person who can vote at the Annual Meeting (and any special or extra church meetings).

Before the Annual Parochial Church Meeting in 2019, the Parochial Church Council needs to prepare a new Electoral Roll which means that everyone has to re-apply to be included on it. 

Please complete the form below if you would like to be included in the new register.

 

Name:
 
Address:
 
 
Town:
County:
Postcode:


Declaration:

Please select one of the following statements:




Please select one of the three options below.

    I am a member of the Church of England (or of a Church in communion with the Church of England) and am a resident in the parish.  (*parish boundary information below)

    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 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.

   By ticking the box I declare that the above answers are true and that I apply for inclusion on the church electoral roll of the parish.

Follow the link to a map showing the parish boundary - increase map size with +  to see road details.  

Ethnicity


The Diocese would like to monitor the ethnicity of the congregation.   If you are happy to give this information please select one of the following:

 

Ethnicity Monitoring

 


 
White

British

 

 
Mixed

White/Black Caribbean

 


Asian or Asian British
  
Asian British
Irish White/Black African Bangladeshi
Other White/Asian Pakistani
    Other Mixed Indian
        Other
           



 
Black or African or Caribbean
 or Black British


African


Other Group

Chinese
   
Caribbean Other    
Black British        
Other        

  Prefer not to say
 






 

Electoral Roll Officer, 08/01/2019