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I, do hereby declare that –

1. I am baptised;

2. I am a member of the Anglican Church of Australia and of no Church which is not in communion with this Church;

3. I am at least 18 years of age;

4. I have been for a period of not less than three months and am an accustomed worshipper in the Parish of Bulimba. 

5. I claim to be a Parishioner of the said Parish;

6. I am not an Elector for any other Parish;

 7. I am a communicant and claim to be an Elector of the said Parish.

Parish Roll Form

Please fill out the following form