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COMBINED FORM FOR GLI INSTALLATION RETURN AND RGL ANNUAL RETURN OF PAST MASTERS
Note:- This return is for establising the claim of master,wardens & past master to attend grand lodge under Ruls 9 & 127 of the book of constitutions.


Lodge.                 No.                     Station -                                                           Installation Month -
Part-I-Installation Return

Part-II-Payment Of Annual Fees in Terms Of Rule 182 Of the B of Cs
Office
Name (in Full)
Date of Installation
REMARK
@Rs. Rs. Note:- 1.Please send D.D. for out station Cheque add Rs. 100/-
2. If any PM is member of more than one Lodge and his fees is not included in this return,indicate Lodge in which it will be included in col. 9 of part-III
3. Excluded P.M.'s who are Life Members.(indicate L.M.in col. 9 part-III)
W.M. 1.Reigning Master 100/- 100/-
S.W. 2.Senior Warden 100/- 100/-
J.W. 3.Junior Warden 100/- 100/-
(1)State reasion if any if the above were not installed/invested at the installation meeting.
(2)In case the Master has obtained qualification in another Lodge indicate Name & No. of Lodge and year of installation.
(3)Subsequent date of investiture of Wardens, if any should be intimated promptly to Grand Lodge.
4.Past Masters(Read Part III) 100/-
Bank Commission
Total
Part-III-Detail Of Subscribing Past Masters either of or in the Lodge qualified under Rule 9 of the Book of Constitutions
Name(In Full)
(1)
Date Initiated
(2)
Name & No. of Mother Lodge
(3)
Date of Joining the Lodge
(4)
Date
(5)
Lodge No.
(6)
RGL Rank & Year
(7)
GLI Rank & Year
(8)
PM Fees Included in Lodge No.
(9)
No. of Mgts. during Year
(10)
No. of Mgts. attended
(11)
Chapter In Which Mbr. No.
(12)
Gr. Rank in Chapter & Year
(13)
Regl. Rank in Chapter & Year
(14)
Mark Lodge in which Mbr. No.
(15)
Gr. Rank in Mark & Year
(16)
Regl. Rank in Mark & Year
(17)
Omit pkey
Part-IV-Past Masters Omitted in Part-II with reasons for such omission (i.e. resignation,death,election,as Hon. Member or exclusion) with the date there of.
Name Omitted Reason for Omission and Date pkey