RGLSI RAM LODGE

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Grand Lodge of Mark Master Masons of India

(DEGREE OF ROYAL ARK MARINERS)

Application for Admission to Membership of

RAM Lodge CHENNAI No.92

To be filled up by ALL Candidates

Name in Full	KAVIYANATHAN D.O.
Address	6/31 KALIKUNDRAM MAIN ROAD TARAMANI CHENNAI, TAMIL NADU - 600113
Date of Birth / Age	08-06-1985 / 37
Profession or Occupation	ADVOCATE

To be filled up by Candidates for Elevated only

Give Name, Number and Constitution of Lodge / Lodge of which you are, and at any time have been a member, Certificate of good standing from all such Lodge , as well as your Grand Lodge of Mark Master Masons Certificate, must be produced.*.

Give Name, Number and Constitution of Lodge in which Advanced, and DATE of Advanced.	CHENNAI , 92 & 21-04-2017
GMLC No. and Date of Issue	6734 & 09-02-2022

(*These Certificates should be returned to the Candidate after Inspection by the Scribe of the RAM Lodge)

Date

08-09-2022

Signature of Candidate (Advanced, Joining or Re-Joining)

Name of the Proposer

BRO. GOPALAKRISHNAN ARUL PRASAD

Signature of the Proposer

Name of the Seconder

W.BRO. YEGNESWARAN UDAYASHANKAR

Signature of the Seconder

Certificate of Scribe

I certify that the above application was read in open RAM Lodge immediately before the ballot was taken

Candidate was exalted in this RAM Lodge on

Name of Scribe

BRO. VENKAT SETHURAMALINGAM ILANGO

8778633032

vs.ilango@gmail.com

Signature of Scribe

NOTES

1. This form is to be handed over to the Scribe of the Lodge previous to the Communication at which the proposal is to be made.

2. The Scribe will retain the Application as a permanent record of the Lodge.