DELEGATE CERTIFICATION
General Conference World Assembly 2023

If something does not apply, please write "N/A". If you are not sure, please write "unknown".

FOR FIELD OR UNION DELEGATES

Field or Union*
certify that the person for whom information is provided below is a Delegate or Alternate representing the above field/union at the General Conference World Assembly 2023 to be held in Peru on July 11-30, 2023, having been duly elected in the presence of a General Conference representative.

FOR GENERAL CONFERENCE FULL BOARD DELEGATES

We, the undersigned, President and Secretary of the General Conference, certify that the person for whom information is provided below is a General Conference Full Board Delegate to the General Conference World Assembly 2023 to be held in Peru on July 11-30, 2023, having been duly elected by the General Conference World Assembly or the General Conference Full Board.
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Selection
Permanent residential address*
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RESUMÉ

Ordination in IMS
Highest level of education
Most recent 7 elected office(s) held at the field, union, or General Conference levels of the IMS:
Level
Office
Years (From-to)
 

COVID-19

If vaccination becomes mandatory again, we need to estimate if we will have full majority in person at the World Assembly. For this purpose, we kindly ask all delegates to provide the below information.
I voluntarily submit my personal decision related to COVID-19 vaccination status:

Please submit with the following information:

Max. file size: 512 MB.
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REVIEW AND SUBMISSION

Please submit your form.

For further assistance with World Assembly matters, please contact the General Conference at [email protected] or by phone at (+1) 770-748-0077.