Notes:1. Under rule 4 of the Church Representation Rules, this certificate is to be signed by the chair, vice-chair, secretary or church electoral roll officer of the parochial church council.2. Not later than 1 June 2020, one copy of the completed certificate should be sent by post to your diocesan office.3. A copy of this certificate must also be affixed, for a period of not less than 14 days, on or near the principal door of every church and building licensed for public worship in the parish.