85th Ceremonials Registration

Novice ceremonials intake

This form is for participants of the 85th Mabuhay Shriners Ceremonials. Applicants from Maginoo or any other shrine club can submit here. Complete all required details and uploads for review.

Need event details and requirements first? Visit the 85th Ceremonial page.

Step 1 of 4

REQUIRED

APPLICATION FOR MEMBERSHIP
NOVICE INFORMATION SHEET
PLEASE READ THE FOLLOWING COMPLETELY AND SIGN
PAYMENT CONFIRMATION

APPLICATION FOR MEMBERSHIP

To the Illustrious Potentate, Officers and Nobles of Mabuhay Shriners, situated in the City of Manila, Philippines;

Form Disclosures

I hereby declare that the information I have provided is true to the best of my knowledge. Furthermore, I do not know, and never will, hold membership in or allegiance to, anybody claiming to be Masonic that has been declared clandestine by a Commandery or Preceptory of Knights Templar in amity with and recognized by the Grand Encampment of Knights Templar of United States of America or Consistory of the Ancient and Accepted Scottish Rite of Freemasonry of the obedience of either the Supreme Councils which are in amity with, or recognized by them: that I am not under suspension or expulsion of bodies prerequisite of this Order, and respectfully pray that I may be made a noble of Shriners International and become a member of Mabuhay Shriners.
If found worthy, and my request is granted, I promise to conform to the Articles of Incorporation and Bylaws of the Imperial Council and the By-laws and Ceremonies of Mabuhay Shriners.
Shrine Application Fee Php 35,000.00 to be paid prior to Initiation.

Date Accomplished

I am a Master Mason in good standing of ___________________________ Lodge

Lodge No.

located at

Province of

I was raised as a Master Mason on

Print Name in Full: Last

Print Name in Full: First

Print Name in Full: Middle

Print Spouse's Full Name: Last

Print Spouse's Full Name: First

Print Spouse's Full Name: Middle

Residence Address

Mailing Address (Please fill-up mailing address if different than that of the above, otherwise correspondence will be sent at your residence address)

Email Address

Phone: (Residence)

Phone: (Business)

Cellular

Facsimile

Birth Place

Date of Birth (mm/dd/yyyy)

Age

Blood Type

Profession or Occupation

Highest Masonic Position

Have you previously applied for admission to any Shrine Temple?

If so, what Temple?

When?

RECOMMENDED AND VOUCHED FOR BY:

Clearly provide each recommending noble and their club name.

Noble #1

Noble

Club name (1)

Noble #2

Noble

Club name (2)