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Member Profile  (Enter all degree work performed during report month. All information is required for new petitioners and members who have petitioned for advancement; thereafter, only name and new degree date(s) need be reported.  Please do not repeat information previously reported.

Petition Date TIP
Investigative Cmte Back TIP
Date Initiated TIP * 
Rejected TIP
Entered Apprentice Proficiency TIP

Date Healed TIP  

Received in Lodge TIP
Date Passed TIP  
Objection Filed Date TIP
Read Date TIP
Fellow Craft Proficiency TIP

Demitted

Investigative Cmte Out TIP
Date Raised TIP  Use calendar: Elected TIP
Birth Date TIP
Master Mason Proficiency TIP

First Name Middle  Last Name 
Address City State ZIP

Cell Phone  Home Phone Spouse Birth Place

Email Member Rank