Membership Details Update – Masonic Services

GRAND LODGE OF SOUTH AUSTRALIA & NORTHERN TERRITORY

MEMBERSHIP DETAILS UPLOAD

Membership Details Update

This form is to advise the administration of a change required to a members profile, information or history.

Date of Informing Changes(Required)
DD slash MM slash YYYY
Full Member's Name(Required)
Membership Number
MILITARY SERVICE
Do You Have Any Military Service You'd Like to Update?(Required)
- Yes
- No
Please Provide Details Below
Upload any supporting documents if required
Max. file size: 128 MB.
LODGE MEMBERSHIPS
Do You Have Any Lodge Memberships You Need to Update?(Required)
- Yes
- No
Select your lodge that your changes should be applied against. If you're not sure select other and provide more information(Required)
Click below to drop down the list.
Provide further details
Lodge Membership Status
Upload any supporting documents if required
Max. file size: 128 MB.
Is There Another Lodge Membership Requiring an Update?(Required)
- Yes
- No
Select The Lodge Below(Required)
Click below to drop down the list.
Provide further details
Lodge Membership Status
Upload any supporting documents if required
Max. file size: 128 MB.
OTHER MEMBERSHIPS
Are There Any Other Memberships Requiring Updating?(Required)
- Yes
- No
Other Membership Details
Jurisdiction Lodge
Other Membership Status
Upload any supporting documents if required
Max. file size: 128 MB.
HISTORIC EVENTS
Do You Have Any Historic Events Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Historical Event (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Historic Event Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Historical Event (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Historic Event Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Historical Event (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Historic Event Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Historical Event (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Historic Event Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Historical Event (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
AWARDS
Do You Have Any Awards Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Award (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Award Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Award (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Award Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Award (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Award Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Award (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
Is There An Additional Award Requiring Updating?(Required)
- Yes
- No
Date of Historical Event
DD slash MM slash YYYY
Award (select from drop down list)
Comment
Select The Lodge Below
Click below to drop down the list.
Provide details
Upload any supporting documents if required
Max. file size: 128 MB.
LODGE OFFICES HELD
Do You Have Any Lodge Offices Requiring Updating?(Required)
- Yes
- No
Lodge Office (select from drop down list)
Select The Lodge Below
Click below to drop down the list.
Provide details
Start Date
Select date below
DD slash MM slash YYYY
End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Lodge Offices Requiring Updating?(Required)
- Yes
- No
Lodge Office (select from drop down list)
Select The Lodge Below
Click below to drop down the list.
Provide details
Start Date
Select date below
DD slash MM slash YYYY
End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Lodge Offices Requiring Updating?(Required)
- Yes
- No
Lodge Office (select from drop down list)
Select The Lodge Below
Click below to drop down the list.
Provide details
Start Date
Select date below
DD slash MM slash YYYY
End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Lodge Offices Requiring Updating?(Required)
- Yes
- No
Lodge Office (select from drop down list)
Select The Lodge Below
Click below to drop down the list.
Provide details
Start Date
Select date below
DD slash MM slash YYYY
End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Lodge Offices Requiring Updating?(Required)
- Yes
- No
Lodge Office (select from drop down list)
Select The Lodge Below
Click below to drop down the list.
Provide details
Start Date
Select date below
DD slash MM slash YYYY
End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
GRAND LODGE OFFICES HELD
Do You Have Any Grand Lodge Offices Requiring Updating?(Required)
- Yes
- No
Grand Lodge Office (select from drop down list)
District
Comment
Term Start Date
Select date below
DD slash MM slash YYYY
Term End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Grand Lodge Offices Requiring Updating?(Required)
- Yes
- No
Grand Lodge Office (select from drop down list)
District
Comment
Term Start Date
Select date below
DD slash MM slash YYYY
Term End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Grand Lodge Offices Requiring Updating?(Required)
- Yes
- No
Grand Lodge Office (select from drop down list)
District
Comment
Term Start Date
Select date below
DD slash MM slash YYYY
Term End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Grand Lodge Offices Requiring Updating?(Required)
- Yes
- No
Grand Lodge Office (select from drop down list)
District
Comment
Term Start Date
Select date below
DD slash MM slash YYYY
Term End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
Do You Have Any Additional Grand Lodge Offices Requiring Updating?(Required)
- Yes
- No
Grand Lodge Office (select from drop down list)
District
Comment
Term Start Date
Select date below
DD slash MM slash YYYY
Term End Date
Select date below
DD slash MM slash YYYY
Upload any supporting documents if required
Max. file size: 128 MB.
LODGE COMMITTEE MEMBERSHIPS
Do You Have Any Committee Memberships Requiring Updating?(Required)
- Yes
- No
Committee
Provide details
Committee Role
Comments
Term Start Date
DD slash MM slash YYYY
Term End Date
DD slash MM slash YYYY
Upload Supporting Documents if Applicable
Max. file size: 128 MB.
ADDITIONAL CHANGES
Are Additional Changes Required?
- Yes
- No
If any further changes or comments are required please record below.
Upload Supporting Documents if Applicable
Max. file size: 128 MB.
FINALISE SUBMISSION
Name of Person Submitting Form
Signature
Date
Select date below
DD slash MM slash YYYY
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