Ancient & Honourable Fraternity of Royal Ark Mariners of Sussex
From the ...... R.A.M. Lodge No...... to the Provincial Grand Secretary
At the Meeting of the Lodge held on ...... the following items were transacted and/or reported ~
1. ELEVATION (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......
No. Mark Lodge(s) & Rank ...... Name & No. Craft Lodge(s) & Rank ......
1a.IF MEETING IS WITHOUT A CANDIDATE PLEASE GIVE PRECISE OF BUSINESS CARRRIED OUT INSTEAD
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......
Rank in R.A.M. Degree ...... Other/previous R.A.M. Lodge(s)......
No. Mark Lodge(s) & Rank ...... No. Craft Lodge(s) & Rank ......
NB. For additional joining members 1) Please copy (to duplicate the text above in this section) and :-
Paste HERE2) Then complete the information required and allow the page to overflow. 3) Then 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 in Lodge ...... Effective Date ......
Paste above HERE
4. ADDRESS ALTERATIONS
Surname ...... Initials ...... New Tel. No......
New Address ...... Post Code ......
Surname ...... Initials ...... New Tel. No......
New Address ...... Post Code ......
Paste above HERE
5. ELECTION OF WORSHIPFUL COMMANDER
Surname ...... Forename(s) ......
Present Office (in this Lodge) ...... Present Office (Mark) ......
No. Mark Lodge ...... Year Worshipful Master (Mark) ...... INVESTITURE Date as WARDEN (R.A.M.) .....
Paste above HERE
This form is for Provincial use only ~ not to be sent to Grand Lodge
Signed ...... …...... …...... Scribe Date ..….…..…....…. INSTALLATION RETURN OVERLEAF
please note that details of any work other than a ceremony must be given at section 1a. above
if more space is required above please type into relevant section above and allow to flow over page
All Elevated and Joining Brethren to be made aware OF DATA PROTECTION ACT (See Over)
Data Protection Act 1998
By the signing of the Grand Lodge Membership Application Form, consent has been 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 herein.
INSTALLATION RETURNProvincial Use Only ~ Not to be sent to Grand Lodge
Brother ......
(Full Forenames) CAPITALS (Surname)
who has been previously installed as Master of the Lodge of M.M.M. No...... and duly
served for one year, the Office of Warden in R.A.M. Lodge No...... or for whom the
Grand Master's Royal Ark Council have granted Dispensation No...... , was regularly
elected on ...... and duly installed as Commander on ......
He has appointed Brother ...... Senior Warden
...... Date Senior Warden invested
He has appointed Brother ...... Junior Warden
...... Date Junior Warden invested
Remaining Officers:
Chaplain
Treasurer
Scribe
Director of Ceremonies
Almoner
Charity Steward
Senior Deacon
Junior Deacon
Assistant Scribe
Assistant DC
Organist
Guardian
Steward
Steward
Steward
Warder
IPCdr
When completed, please return within
ten days of the Meeting to ~
D B Dumigan Esq.
Arnside
2a Shirley Drive
Worthing
West Sussex
BN14 9AX