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After a period of time in Adelaide, he felt called to missionary work. He then went to Madagascar and began to evangelise, beginning only with a non-functioning church in the capital. In 1997, Archimandrite Nektarios was elected bishop of the newly-created Diocese of Madagascar.
In September 2004 he, along with Pope [[Petros VII (Papapetrou) of Alexandria|Petros VII
of Alexandria]] and two other metropolitans reposed in a helicopter crash en route to [[Mount Athos|Mt. Athos]]. He was buried in Madagascar.