[F1Application for Enrolment on Church Electoral Roll
I (Full Christian name and surname )
of (Full postal address)
declare:—
(ii)I am baptised.
(ii)I am a member of the Church of England or I am a member of being a Church of the Anglican Communion or an overseas Church in communion with the Church of England.*
(iii)I am not a member of any other religious body which is not in communion with the Church of England.
(iv)I have attained the age of seventeen years.
(v)I am resident in the Island of
(vi)My name is not on the Church electoral roll of any parish in the Diocese of Winchester.
I hereby apply to have my name entered on the Church electoral roll of the Island of
Signed
Date
* Strike out whichever is not applicable.]
Textual Amendments
F1Form substituted by S.I. 1970/1117