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In 1918, he was ordained a deacon. With this appointment, he also became teacher at the city school of Theira. He served as arch-deacon under Metropolitans Gregorios of Chalcedon and Joachim of Ephesus. In 1920, he became the archdeacon to the Ecumenical Patriarchate itself.
In 1946, he became Patriarch of Constantinople. He was known for his 'leftist' opinions and ties with the Moscow Patriarchate. He resigned in 1948, officially because of poor health; unofficially because western powers did not approve his ties with the Soviet-controlled Patriarch of Moscow. He was succeeded by the archbishop of America, Athenagoras, and was given the title of Ephesus.
^"Μάξιμος Εʹ". ec-patr.org. Κατάλογος Οικουμενικών Πατριαρχών [List of Ecumenical Patriarchs] (in Greek). Office of the Ecumenical Patriarch of Constantinople. Retrieved 21 February 2024.