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

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* 1. Title

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* 2. Surname

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* 3. Full First Names

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* 4. Address

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* 5. I declare that I am:

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* 6. I declare that I am:

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* 7. Date of Birth

DD/MM/YYYY

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* 8. Landline Phone

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* 9. Mobile Phone

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* 10. Email Address

0 of 10 answered
 

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