CERTIFICATE FOR A DIPLOMA FOR THE BENEFIT OF FAMILY OF A DECEASED BROTHER

……………………………………… Lodge No. …………………………, F. & A.M.

…………………………………………………, 20……..

To the Most Worshipful …………………… Grand Secretary of the Grand Lodge of the Philippines:

I hereby certify that Brother ………………………………… who died at ……………………… on the day ……….. of ……………………, 20…., was, at the date of his death, a Master Mason and a member of this Lodge, in good standing; and that he left (here insert "a widow", "a child" or "children" or any of them, as the case may be) for whose benefit a Grand Lodge Diploma is desired.

Given by order of our Lodge aforesaid, at the date first above written, as witness my hand and the seal thereof.

……………………………………………… Secretary (Seal)