Electoral Roll Application • St Thomas' Burwood

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If you wish to be placed on the Electoral Roll for St Thomas' Anglican Church Burwood, please tick the box below:

Electoral Roll

Electoral Roll Member

I declare that

I have attained the age of eighteen years
I have been baptised
I regularly and habitually attend public worship at a public worship centre in the parish
I am a member of the Anglican Church of Australia and do not belong to any religious body which is not in communion with the Anglican Church of Australia.
I am not on the parish electoral roll for any other parish (**other than a roll from which I wish my name to be removed)

Declaration

I declare that I satisfy the above requirements

**Except that of the following Church from which roll I desire my name to be removed: (if applicable)

I hereby apply to be entered on the Church electoral roll in respect of St Thomas’ Church of the Parish of Burwood in the Diocese of Melbourne.

By checking this box and typing my name below, I am electronically signing this application for enrolment on the St Thomas' Electoral Roll.

Signature

Date