Please ensure have all the dates you have served each position in the lodge where appropriate

Section A 

• • Chaplain
  • Treasurer
  • Secretary
  • Asst Secretary
  • D of C
  • Asst D of C
  • Charity Representative
  • Almoner
  • District Representative
  • R.A. Representative
  • Festival Representative
  • Other

  Please ensure have all the dates you have worked/demonstrated the below where appropriate

• I have worked the Installation Ceremony  .. times
• I have served as Master for a subsequent year during……………………………………………..
• I have worked/demonstrated the ceremony of Initiation ……times
• I have worked/demonstrated the ceremony of Passing …times
• I have worked/demonstrated the ceremony of Raising ……times
• I am a member of the Royal Arch, Chapter Name/No…………

Please ensure have all the dates you delivered where appropriate

SECTION B

• Since I Installed my successor:
• Out of a total of ………. meetings, I have attended ……………% of the meetings.
• No. of occasions I have delivered a Charge
• No. of occasions I have delivered a Tracing Board
• No. of occasions I have delivered an Address
• No. of occasions I have delivered a Lecture
• No. of occasions I have delivered the Traditional History