Electoral Roll Electoral Roll St Mary Abbots This is the application for a place on the electoral roll of St Mary Abbots Church Kensington. If you would like further information about the roll or the full details of our use and storage of data please contact Ed Warrick: ed_warrick@hotmail.com OK Question Title * 1. Title OK Question Title * 2. Surname OK Question Title * 3. Full First Names OK Question Title * 4. Address House Name/Number Address 1 Address 2 Postcode OK Question Title * 5. I declare that I am: baptised, am a lay person, and am aged 16 or over am baptised, am a lay person, and become 16 in the next twelve months OK Question Title * 6. I declare that 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. 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. 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. OK Question Title * 7. Date of Birth DD/MM/YYYY OK Question Title * 8. Landline Phone OK Question Title * 9. Mobile Phone OK Question Title * 10. Email Address OK DONE