Somerset Mark Master Masons
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This form should be completed and submitted to the Provincial Grand Secretary as soon as the Lodge Secretary/Scribe becomes aware of a brothers death.
Only names submitted on this form will be included on the ‘In Memoriam’ list read at the RAM Assembly and the Annual meeting of Provincial Grand Lodge.
Do not forget to include details of next of kin so that the Provincial Grand Almoner can make the appropriate contact.
If details are not yet available please advise Provincial Grand Secretary separately by email when details are known.
Lodge Name and Number
Name of Secretary/Scribe
secretary/scribe email address
Surname of Deceased Brother
Grand Rank (if applicable)
Provincial Grand Rank (if applicable)
Date of Death
Details of Next of Kin - include addess and phone number if known