Provincial Grand Lodge of Mark Master Masons of Sussex
From the ...... to the Provincial Grand Secretary
At the Meeting of the Lodge held on ...... the following items were transacted and/or reported ~
1. ADVANCEMENT (Please ensure all sections are completed in full)
Surname ...... Forename(s) ......
(Please underline name known by)
Address ...... Post Code ......
Email Address
Occupation ...... Date of Birth ...... Tel. No......
Candidate’s Mark Name & No. Craft Lodge(s) ......
Craft Rank .....
(Please detail clearly)
1.a IF THE MEETING IS WITHOUT A CANDIDATE Please give precise details of work carried out in lieu...
Eg A Lecture or Talk or demonstration was given on...... by......
2. JOINING MEMBERS (Please ensure all sections are completed in full)
Surname ...... Forename(s) ......
(Please underline name known by)
Address ...... Post Code ......
Email Address
Occupation ...... Date of Birth ...... Tel. No......
Brother’s Mark ...... Rank in Mark Degree ......
Other/previous Mark Lodge(s) ...... Name & No. Craft Lodge(s) + Craft Rank ......
NB. For additional Joining Members 1) Please copy to duplicate the info above and:-
PasteHERE 2) Then complete the information required and allow the page to overflow. 3) Then please delete this explanatory text.
Please apply this method to all other sections where a multiple input is required.
3. RESIGNATIONS, DEATHS, EXCLUSIONS or TRANSFERS to HONORARY MEMBERSHIP
Surname ...... Initials ...... R. D. E. or T......
Rank or Office held (a) in Lodge ...... (b) in Province ...... Effective Date ......
Surname ...... Initials ...... R. D. E. or T......
Rank or Office held (a) in Lodge ...... (b) in Province ...... Effective Date ......
4. ADDRESS ALTERATIONS
Surname ...... Initials ...... New Tel. No......
New Address ...... Post Code ......
Surname ...... Initials ...... New Tel. No......
New Address ...... Post Code ......
5. ELECTION OF WORSHIPFUL MASTER
Surname ...... Forename(s) ......
Present Office (in this Lodge) ...... Present Office (Craft) ......
No. Craft Lodge ...... Year Worshipful Master (Craft) ...... INVESTITURE Date as WARDEN (Mark) ......
This form is for Provincial use only ~ not to be sent to Grand Lodge
Signed ...... …...... Secretary Date …………….. INSTALLATION RETURN OVERLEAF
All Advanced and Joining Brethren to be made aware
Data Protection Act 1998
By the signing of the Grand Lodge Membership Application Form, consent was given under the Data Protection Act 1998 regarding the processing of personal data and information supplied by the Lodge, the Provincial Grand Lodge of Mark Master Masons of Sussex andthe Grand Lodge of Mark Master Masons and that consent is considered to apply to the information contained on this form.
INSTALLATION RETURNProvincial Use Only ~ Not to be sent to Grand Lodge.
No. of CRAFT Lodge in which W.M. has served as Master ...... OR No. of DISPENSATION granted ...... (See Rules 73 & 83 of the Constitutions and Regulations). If W.M. has served as MASTER of a Mark Lodge on a previous occasion but has NOT been installed into a Chair of a Craft Lodge a Dispensation MUST STILL be obtained.
Office / Surname
(Capital Letters) / Forenames(in full)
(Capital Letters)
W.M. / Date of Master's Installation
day of 20
S.W. / Date of Investiture of Senior Warden
day of 20
J.W. / Date of Investiture of Junior Warden
day of 20
M.O.
S.O.
J.O.
Name of Lodge Almoner Tel. No.
Name of Lodge Charity StewardTel. No.
Remaining Officers:Chaplain
Treasurer
Registrar of Marks
Secretary
Director of Ceremonies
Senior Deacon
Junior Deacon
Assistant Secretary
Assistant DC
Organist
Inner Guard
Steward
Steward
Tyler
IPM
When completed, please return
within ten days of the Meeting to ~
D B Dumigan Esq.
Arnside
2a Shirley Drive
Worthing
West Sussex
BN14 9AX