Nomination for election to PCC

Parish of St Stephen, Castle Hill, Ealing
Annual Parochial Church meeting Sunday 15th May 6.30pm

I, the below named nominee, hereby certify that I

• am at least sixteen years of age
• am an actual communicant
• have been on the Electoral Roll of this Parish for at least six months
• consent to serve on the PCC if elected  

Full Name of person being nominated:

Address:
Town:
Postcode:

Date of Birth:
Telephone/Mobile:
Email:

Please give the names of the people who are nominating you (we will contact them directly to confirm this:
(they must be members of the electoral roll of this parish)

Proposer - name and email address	Seconder - name and email address

Please read here so you can then confirm your eligibility below
I confirm that I am eligible as below
      I am eligible to be a trustee under Church of England regulations (section 1)
      I am eligible to be a trustee under Charity law (section 2)
      I am a 'Fit and Proper' person under HMRC regulations (section 3)

Signed*:
In lieu of a written signature please insert your name here   Date: