Electoral Roll Enrolment

The Cathedral Electoral Roll is open to all members of the Cathedral who are baptized and confirmed. Joining the Electoral Roll will enable you to vote at our Annual General Meetings (AGM).

If you would like to sign up to be on the roll, please fill in this form. We will then send you a PDF of the Electoral Roll application form with the details that you provide here. Please sign the PDF copy of the form and email it back to the Cathedral Office (office@stmaryscathedral.org.my).

The electoral roll for 2023 will close on 31 December 2022.

If there are compulsory fields in this form that you are unable to fill in for any reason, or if you have questions or need help with this form, please call the Cathedral Office on 03 2692 8672 / 011 5760 3484 during office hours or email us at office@stmaryscathedral.org.my

First Name *

Last Name *

Full name to be displayed on the application form *

Contact Number *

Email Address *

Gender *

Date of Birth *

IC Number / Passport *

Occupation *

Baptism Date *

Baptism Location *

Confirmation Date *

Confirmation Location *

Home Address Line 1 *

Home Address Line 2

Home City

Home Postcode *

Home State *

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