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To
The Grand Secretary
Grand lodge of India
Freemasons' Hall. Janpath.
Post Box No. 681.
New Delhi-110001.
lodge Name:
lodge No:
location:
Region:
Our lodge wishes to participate in
the proposed Inter Region-City-lodge tie up.
Our preferences for this tie up will
be as follows :
| Preference |
Lodge Name |
No. |
Location |
Region |
| 1. |
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| 2. |
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| 3. |
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| Signature W.M. |
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Signature Secretar |
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