Electoral Roll Online Application Form

Please fill in the application form below (Once you have submitted this form you will receive an email within 24 hours in order to verify your email address. Please then follow the instructions in this email to complete your online registration)

Full Name (required)

Address (including Postcode (required)

Telephone

Email Address (required)

I declare that I am baptised and am aged 16 or over

or, I become 16 on

I declare that:

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

*or would have attended but was prevented from doing so because

I declare that the above answers are true and I apply for inclusion on the church electoral roll of the parish. (Please type yes in the box) (required)

You can find more about the Electoral Roll here

Data Protection Notice

Electoral Roll Online Application Form

Please fill in the application form below (Once you have submitted this form you will receive an email within 24 hours in order to verify your email address. Please then follow the instructions in this email to complete your online registration)

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