Mark Application for Past Masters Certificate
TO THE GRAND SECRETARY
Kindly supply a Past Master Certificate for
Rank
(Required)
MWBro.
RWBro.
VWBro.
WBro.
Bro.
Name
(Required)
who was admitted to the rank of Installed Mark Master in
Lodge Number/Name
(Required)
5 Port Adelaide Mark Lodge
13 Quorn Mark Lodge
14 Gawler Mark Lodge
16 Kapunda Mark Lodge
29 Hawthorn-Parkside Mark Lodge
31 Franklin Harbour Mark Lodge
37 Whyalla Mark Lodge
40 Eyre Mark Lodge
47 Balaklava Mark Lodge
48 Brighton Mark Lodge
51 Top End Mark Lodge
52 Salisbury Mark Lodge
53 Naracoorte Mark Lodge
60 Kilwinning Mark Lodge
62 Mercury Mark Lodge
246 Copernicus Mark Lodge
Other
Provide details
on the
Date
(Required)
DD slash MM slash YYYY
and has served the office of Master 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
Secretary Name
(Required)
Secretary Email
(Required)
Lodge Number/Name
(Required)
5 Port Adelaide Mark Lodge
13 Quorn Mark Lodge
14 Gawler Mark Lodge
16 Kapunda Mark Lodge
29 Hawthorn-Parkside Mark Lodge
31 Franklin Harbour Mark Lodge
37 Whyalla Mark Lodge
40 Eyre Mark Lodge
47 Balaklava Mark Lodge
48 Brighton Mark Lodge
51 Top End Mark Lodge
52 Salisbury Mark Lodge
53 Naracoorte Mark Lodge
60 Kilwinning Mark Lodge
62 Mercury Mark Lodge
246 Copernicus Mark 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 Masters Certificate Number
Secretary Name
(Required)
Lodge Number/Name
(Required)
5 Port Adelaide Mark Lodge
13 Quorn Mark Lodge
14 Gawler Mark Lodge
16 Kapunda Mark Lodge
29 Hawthorn-Parkside Mark Lodge
31 Franklin Harbour Mark Lodge
37 Whyalla Mark Lodge
40 Eyre Mark Lodge
47 Balaklava Mark Lodge
48 Brighton Mark Lodge
51 Top End Mark Lodge
52 Salisbury Mark Lodge
53 Naracoorte Mark Lodge
60 Kilwinning Mark Lodge
62 Mercury Mark Lodge
246 Copernicus Mark Lodge
246 Copernicus Lodge
Other
Date
(Required)
DD slash MM slash YYYY