NOT TO BE DISCUSSED OUTSIDE THE EXECUTIVE COMMITTEE
FORM OF RECOMMENDATION TO THE MOST WORSHIPFUL GRAND MASTER FOR CONFERMENT OF PAST GRAND RANK (Reg. 6.4), THE AWARD OF THE GRAND MASTER’S ORDER OF SERVICE TO MASONRY (Reg. 6.5), OR A MERITORIOUS SERVICE AWARD (Reg. 6.9).
Full Member's Name
(Required)
Lodge in which Initiated
(Required)
Click below to drop down the list.
1 Friendship
2 The Adelaide Lodge
5 Lodge of Fidelity
10 Brighton United Lodge
11 Lodge of Light
12 Mid North Lodge
14 Prince of Wales Lodge
15 Lodge St John
16 Duke of Edinburgh Lodge
18 Mostyn Goodwood Loyalty
19 St Andrews
21 Lodge of Fraternity
24 Pt Pirie United Lodge
26 The Victoria Lodge
30 Holdfast Lodge
33 Semaphore Lodge
34 Corinthian Lodge
35 Mt Gambier Lodge
38 St Alban
41 Port Darwin Lodge
42 Naracoorte Lodge
44 Murray Bridge United
45 Pt Lincoln Lodge
52 Balaklava - Owen Lodge
55 Renmark Lodge
59 Quorn Lodge
67 Yorke Valley Lodge
75 Hope & Lewis Lodge
82 Pt Broughton Lodge
85 Eudunda
90 Berri Lodge
93 Blackwood Lodge
98 Earl of Chester Lodge
106 Lake Bonney Lodge
117 Glenelg Lodge
118 Thorngate
121 Mypolonga Lodge
124 Witton Lodge
126 Salisbury Lodge
133 Lodge Sirius
142 Le Hunte Lodge
145 Enfield
150 Ardrossan Lodge
155 Hore Ruthven Lodge
156 Alice Springs Lodge
159 Epworth Lodge
160 Whyalla Lewis Lodge
161 Kingston Lodge
168 Edwardstown Lodge
182 Darwin Remembrance
187 Lewis Lodge of Brighton
188 Hawthorn Lewis Lodge
193 Hyde Park Bankers
195 Lodge Thespian
200 Elizabeth Lodge
201 Perfect Cube
202 Lodge Seacliff
206 Parndana Lodge
207 Edwardstown Lewis
211 Lodge Foelsche
217 Katherine Lodge of Fidelity
218 Tea Tree Gull Lodge
219 McDouall Stuart Lodge
220 Kilwinning
222 Lodge Baden Powell
226 Lodge Concordia
228 Elizabeth Daytime Lodge
230 Ridgehaven Lodge
231 Earl of Zetland Lodge
235 Lodge of Endeavour
238 Leonardo Da Vinci Lodge
239 Calver Lodge
241 Lodge Koolpinyah
243 Lodge Reynell
244 Sir Douglas Mawson
245 Aurora Australis Lodge
246 Copernicus Lodge
Other
Date of Initiation
(Required)
DD slash MM slash YYYY
Lodge in which Installed as Master
(Required)
Click below to drop down the list.
1 Friendship
2 The Adelaide Lodge
5 Lodge of Fidelity
10 Brighton United Lodge
11 Lodge of Light
12 Mid North Lodge
14 Prince of Wales Lodge
15 Lodge St John
16 Duke of Edinburgh Lodge
18 Mostyn Goodwood Loyalty
19 St Andrews
21 Lodge of Fraternity
24 Pt Pirie United Lodge
26 The Victoria Lodge
30 Holdfast Lodge
33 Semaphore Lodge
34 Corinthian Lodge
35 Mt Gambier Lodge
38 St Alban
41 Port Darwin Lodge
42 Naracoorte Lodge
44 Murray Bridge United
45 Pt Lincoln Lodge
52 Balaklava - Owen Lodge
55 Renmark Lodge
59 Quorn Lodge
67 Yorke Valley Lodge
75 Hope & Lewis Lodge
82 Pt Broughton Lodge
85 Eudunda
90 Berri Lodge
93 Blackwood Lodge
98 Earl of Chester Lodge
106 Lake Bonney Lodge
117 Glenelg Lodge
118 Thorngate
121 Mypolonga Lodge
124 Witton Lodge
126 Salisbury Lodge
133 Lodge Sirius
142 Le Hunte Lodge
145 Enfield
150 Ardrossan Lodge
155 Hore Ruthven Lodge
156 Alice Springs Lodge
159 Epworth Lodge
160 Whyalla Lewis Lodge
161 Kingston Lodge
168 Edwardstown Lodge
182 Darwin Remembrance
187 Lewis Lodge of Brighton
188 Hawthorn Lewis Lodge
193 Hyde Park Bankers
195 Lodge Thespian
200 Elizabeth Lodge
201 Perfect Cube
202 Lodge Seacliff
206 Parndana Lodge
207 Edwardstown Lewis
211 Lodge Foelsche
217 Katherine Lodge of Fidelity
218 Tea Tree Gull Lodge
219 McDouall Stuart Lodge
220 Kilwinning
222 Lodge Baden Powell
226 Lodge Concordia
228 Elizabeth Daytime Lodge
230 Ridgehaven Lodge
231 Earl of Zetland Lodge
235 Lodge of Endeavour
238 Leonardo Da Vinci Lodge
239 Calver Lodge
241 Lodge Koolpinyah
243 Lodge Reynell
244 Sir Douglas Mawson
245 Aurora Australis Lodge
246 Copernicus Lodge
Other
Date Installed as Master
(Required)
DD slash MM slash YYYY
Past / Present Grand Rank
(Required)
Year appointed to Rank or year Rank Conferred
(Required)
District
Country
Daytime Lodges
Metropolitan 1
Metropolitan 2
Metropolitan 3
Metropolitan 4
Metropolitan 5
Mid-North, Yorke and Northern
Northern Territory
Southern
Offices held in Present Lodge
Year(s) held
Offices held in Present Lodge
Year(s) held
Offices held in Present Lodge
Year(s) held
Offices held in Present Lodge
Year(s) held
Offices held in Previous Lodge
Year(s) held
Offices held in Previous Lodge
Year(s) held
Offices held in Previous Lodge
Year(s) held
Offices held in Previous Lodge
Year(s) held
Details of Craft Masonic Service inside own Lodge:
Details of Craft Masonic Service outside own Lodge: (Do not include any information regarding other Orders)
Name of Lodge Master
Email of Lodge Master
Signature of Lodge Master
Name of Lodge Secretary
Email of Lodge Secretary
Signature of Secretary
Please note:
Information of Service to other Orders is not to be included. Only ONE application will be considered each year from any Lodge. Applications close with District Grand Superintendents on 30th November each year and are considered in December for Conferred Rank at the April Communication. Fee payable on application according to schedule of fees within regulation 2.37 Conferred Rank and Meritorious Service Award to be paid by the Lodge nominating the Brother. THIS STATEMENT DOES NOT CONCUR AN AUTOMATIC RIGHT OF A CONFERMENT OR AWARD
CAPTCHA