Member Application Enquiry Form – RCC Division of Cheshire

To be Completed by the Candidate for installation, Joining or Re-joining.

The Grand Imperial Conclave for England and Wales and its Divisions and Conclaves Overseas of the Masonic and Military Order of the Red Cross of Constantine and the Holy Orders of the Holy Sepulchre and of St John the Evangelist.

You can also download the full application form here and either email the completed form or send by post for the attention of the Divisional Recorder.

Conclave Details

1. Conclave Name
2. Conclave Number
3. Conclave Division

Companion Details

4. Fornames
5. Initials
6. Surname
7. Decorations & Honours
8. Style or Title e.g. Mr, Sir, Brigadier...
9. Full Address
Postcode
10. Date of Birth DD/MM/YYYY
11. Contact Details
Home Telephone
Work Telephone
Mobile
Email
12. Raised in Craft Lodge
No.
On
Constitution (if not English)
13. Exalted in Royal Arch Chapter
No.
On
Constitition (if not English)

Joining / Re-joining Members

14. MMH Membership Number (if known)
15. Mother RCC Conclave
No.
Name
Constitition (if not English)
Date of Installation DD/MM/YYYY
Date of Leaving (if applicable)
Reason for Leaving Resigned R, Honorary Member H, Tyler T, Ceased C, Excluded E, Warrant forfeited W
16. Sovereign of RCC Conclave
No.
Date of Enthronment as Sovereign
17. Present Divisional Rank
Date
18. Present Grand Rank
Date DD/MM/YYYY
Please give details of all the RCC Conclaves of which you are or have been a member in the further information box below.

19. Signature of Candidate *I solomnly and sincerely declare that I profess the Christian Trinitarian faith. (Please initial)
20. Signature of Proposer
21. Signature of Seconder
22. The Candidate was Installed/Joined/Re-joined on

23. Further information
24. Contact preference
To complete my application please contact me by: *
(Select all that apply)Home TelephoneWork TelephoneMobileEmail

Verification

Please enter any two digits *Example: 12
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To be Completed by the Candidate for installation, Joining or Re-joining.

Conclave Details

Companion Details

Joining / Re-joining Members

Verification

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