DISPENSATION TO INITIATE A CANDIDATE OF LESS THAN 21 YEARS OF AGE

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YOUR DETAILS
Forename(s)
Surname
ELPGL computer number (if known)
Office (if not Secretary)
e-mail address
 
YOUR LODGE DETAILS
Lodge name
Lodge number
Regular meeting place
 
DISPENSATION REQUIREMENTS
Details of Candidate
Forename(s)
Surname
Date of Birth
 Year
Full name of Proposer
ELPGL computer number (if known)
   Masonic rank 
Full name of Seconder
ELPGL computer number (if known)
  Masonic rank 
Special circumstances warranting the request for a Dispensation
Any additional comments