PETITION FOR A CHARTER

To the Most Worshipful Grand Lodge of the Philippines:

The undersigned respectfully represent that on the ... ... day of ......................................, a Dispensation was issued by the Grand Master for the formation of a new Lodge at ......................... in the province of .........................................., by the name of .................................................. Lodge; that on the .......... day of ..............................................., next ensuing, said Lodge was opened and organized, and has since continued successfully to work during the period named in said Dispensation, as will appear from its records, by-laws, and returns, herewith presented; and that it is the anxious desire of the members of said Lodge that its exercise be perpetuated.

They, therefore, pray that a Charter be granted to said Lodge by the name of ............................ Lodge, with such number as the usage of the Grand Lodge may assign it, and recommend that Bro ...................................... be named therein as Master, Bro. ........................... as Senior Warden, and Bro. .......................................... as Junior Warden; promising, as heretofore, strict obedience to the commands of the Grand Master, and undeviating conformity to the Constitution and Regulations of the Grand Lodge.

Given by instruction from and on behalf of said Lodge, at ........................, this ............... day of ...................................., 20.............

......................................................) ......................................................) ........................................................) Delegates ......................................................) ......................................................)