ST. ANDREW’S CHURCH, KYRENIA 2008
P.O. Box 171 Girne Mersin 10 TURKEY	Telephone : (00 + 90 + 392) 815 4329 Fax : (00 + 90 + 392) 815 4486 E-mail : standrews@gawab.net

APPLICATION FOR INCLUSION ON THE ELECTORAL ROLL 2008

To the Electoral Roll Officer

I, ………………………………………………………………………………………………………

( Rank, Style or Title) (Full Name in BLOCK CAPITALS)

of………………………………………………………………………………………………………

(Postal address)

Telephone no:………………………………………………………………………………………….

Email address:…………………………………………………………………………..

hereby apply for inclusion in the Electoral Roll of St Andrew’s Church, Kyrenia.

a. I am a baptised Christian of the Anglican Communion, or a Church in communion with the
Provinces of the Anglican Communion, or am a full member of a Church of the
World Council of Churches.

b. I am over 16 years of age.

c. I reside, or plan to reside in North Cyprus for 3 months or more each year, and habitually
attend Church when I am resident, my home being in:……………………………………..

Date:…………………… Signature:……………………………………….

Please complete and return to the Electoral Officer at the above address or leave in
St Andrew’s Church by March 2008

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