Form 3a - Investigating Committee - 2014
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1
2FORM 3A Page 1 of 2 (E-2014)
APPOINTMENT AND REPORT OF
INVESTIGATING COMMITTEE
(PREPARE IN TRIPLICATE)
of Washington
Dated:
L
, N
.
, F
& A
M
ODGE
O
Dear
By order of the Worshipful Master, you have been appointed to a committee of investigation to inquire into the character and fitness of
the petitioner named herein who has made application to this Lodge for
.
the Degrees of Masonry,
Affiliation,
Plural Membership,
Reinstatement,
Restoration
DATA CONCERNING THE PETITIONER
(TO BE FILLED IN BY THE LODGE SECRETARY)
Name:
Telephone:
Address:
Date of
Place of Birth:
Birth:
Occupation:
Name and Address of Employer:
Has lived at the above address
previously at
years
References:
Members of this Lodge who signed the petition
Other pertinent information (as stated in the petition):
Re: Certificate of Good standing in (or) Dimit from
Lodge, No.
,
Re: Reinstatement- he was dropped for NPD on
Re: Plural membership – he holds membership in the:
Lodge, No
and
Lodge, No.
The good name of the Fraternity in general and this Lodge in particular, is involved in the careful investigation of the petitioner.
Therefore, your love for Masonry should lead you to be prompt and thorough in the performance of this most important assignment. The
questions set forth on the reverse side are to be used as guides. They do not limit the scope of the investigation.
.
Return to Secretary by
This petition will come up for ballot on
If for any reason you are unable to serve on this Committee, advice the Secretary immediately. Phone (
)
-
Email address is
.
Secretary -
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