CERTIFICATE OF QUALIFICATION OF OFFICERS PROPOSED FOR A LODGE

To the Most Worshipful ................................................. Grand Master of Masons in the Philippines:

The petition of ................................... brethren, residing at ...................................................., praying the Grand Master for a Dispensation to open and hold a new Lodge, at said ..................................., to be called ................................... Lodge, having been presented to me; and Brothers .............................. and ................................... being recommended therein for nomination, respectively, as Master, Senior Warden and Junior Warden of said proposed new Lodge; now I ........................................, Master of ........................................ Lodge No. ............... do hereby certify that, to my positive knowledge, each of said brethren is fully competent properly to confer the three degrees of Masonry and to deliver the entire several lectures thereunto appertaining.

Given at ........................................, in the province of ............................................, this ............... day of ...................................., 20.......

.................................................... Master