PROVINCIAL GRAND CHAPTER OF SOMERSET - CHAP5 - OBITUARY RETURN

Chapter  (Mandatory Field)   Number  (Mandatory Field)

Only names submitted on this form will be included on the ‘In Memoriam’ list read at the Annual Convocation of Provincial Grand Chapter.

 

It is with regret that this Chapter informs you that the following Companion has passed to the Grand Lodge above:

Surname:

Forenames:

Address:

Grand Rank (if any):

Provincial Rank (if any):

Date of Death:

Details of Next of Kin:

Funeral Arrangements:

 

Please return this form to Provincial Grand Registrar as soon as you are aware of a Companion’s death.

 

PLEASE MAKE SURE YOU INCLUDE DETAILS OF NEXT OF KIN SO THAT THE PROVINCIAL GRAND ALMONER CAN MAKE APPROPRIATE CONTACT

 


Scribe E

UGLE No.Name   (Mandatory Field)DateEmail   (Mandatory Field)


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