Certification of eligibility
or non elected and co-opted members of PCC

Parish of St Stephen, Castle Hill, Ealing
After Annual Parochial Church meeting May 2024

I, the below named, hereby certify that I am either a co-opted member of the PCC or a member by way of the office I hold

Full Name:

Address:
Town:
Postcode:

Telephone/Mobile:
Email:
Date of Birth

Please note these details will be notified to the Charity Commission if you are elected, but only your name shows on the public register.

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: