Mariners Application for Past Commander Certificate
TO THE GRAND SECRETARY
Kindly supply a Past Commanders Certificate for
Rank
(Required)
MWBro.
RWBro.
VWBro.
WBro.
Bro.
Name
(Required)
who was admitted to the rank of Enthroned Commander in
Lodge Number/Name
(Required)
1 Adelaide Mariner Lodge
4 Matthew Flinders Royal Ark Mariner Lodge
5 Port Adelaide Mariner Lodge
8 Mid North Mariner Lodge
14 Gawler Mariner Lodge
31 Western Mariner Lodge
44 Broadview Mariner Lodge
51 Darwin Mariner Lodge
Other
Provide details
on the
Date
(Required)
DD slash MM slash YYYY
and has served the office of Commander of that Lodge for the below number of years
Select number of years served
1
2
3
4
5
Date of Installation THIS YEAR
(Required)
DD slash MM slash YYYY
Scribe Name
(Required)
Scribe Email
(Required)
Lodge Number/Name
(Required)
1 Adelaide Mariner Lodge
4 Matthew Flinders Royal Ark Mariner Lodge
5 Port Adelaide Mariner Lodge
8 Mid North Mariner Lodge
14 Gawler Mariner Lodge
31 Western Mariner Lodge
44 Broadview Mariner Lodge
51 Darwin Mariner Lodge
Other
Date
(Required)
DD slash MM slash YYYY
PLEASE RETURN THIS FORM IN FULL AFTER RECEIPT OF CERTIFICATE
Received from the Grand Secretary's Office.
Past Commander Certificate Number
Scribe Name
(Required)
Lodge Number/Name
(Required)
1 Adelaide Mariner Lodge
4 Matthew Flinders Royal Ark Mariner Lodge
5 Port Adelaide Mariner Lodge
8 Mid North Mariner Lodge
14 Gawler Mariner Lodge
31 Western Mariner Lodge
44 Broadview Mariner Lodge
51 Darwin Mariner Lodge
Other
Date
(Required)
DD slash MM slash YYYY