DISPENSATION TO SERVE AS FIRST PRINCIPAL OF TWO CHAPTERS AT THE SAME TIME

Please read the relevant section before completing this Form

Please check that you have supplied all the correct information before clicking the 'Submit' button at the foot of this page (you can delete and insert text as normal in any section).
However, please note that clicking the 'Reset' button clears ALL the fields in this Form.
YOUR DETAILS
Forename(s)
Surname
ELPGL computer number (if known)
Office (if not Scribe E)
e-mail address
 
YOUR CHAPTER DETAILS
Name
Number
Regular meeting place
 
DISPENSATION REQUIREMENTS
Details of Installation Meeting
  
   
Details of the First Principle Elect
Forename(s)
Surname
ELPGL computer number (if known)
Current Office in the Chapter
Explanation (if "Other" selected - above)
Circumstances warranting the request for a Dispensation
Details of the anticipated Principal Elect's other Chapter
Name
Nnumber
Province
Date he was Installed
Details of the other Chapter's Scribe E
Forename(s)
Surename
Address - line1
Address - line 2
Address - line 3
Post code
Additional information (if any)
Any additional comments