(Regulations 190, 210. See also Appendix E-8)
At ......................……….... ................ day of .....………….......... 20............
It is hereby certified, in the name and by the authority of the Presbytery of ..................………........... as agreed on ........………............ that M ........….................., is a minister/licentiate of the Presbyterian Church of Aotearoa New Zealand in good standing, and as such leaves this Presbytery on .....……................. M ..........…............. is recommended to the goodwill of whatever Presbytery may receive this certificate.
……………………………………. Moderator
…………………………………….Clerk