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The office of the Moderator of the General Assembly is the highest elected position in the Presbyterian Church (East Africa). The Moderator is responsible for presiding over the meeting of the General Assembly, which is held after every three years annually, the Genereal Administrative Commitee meet annualy when the Genereal Assembly is not meeting. After the meeting, which lasts for about a week, the Moderator serves as an ambassador of the denomination throughout the remainder of the term. After completing the term, most former Moderators take on the role of a church fathers.

The chart below shows the list of past Moderators, since the Church of Scotland and Gospel Mission Society(GMS) merged to form the present day Presbyterian Church (East Africa).