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DeMolay Petition Form 2017
DeMolay Petition Form 2017
Address (House No., Street / Apt. / Purok) Village / Subd. / Condominium / Bldg. Baranggay
E-mail Address Facebook Account Name Mobile No. Landline w/ area code
Have you applied in any DeMolay Chapter? If Yes, indicate the year, the DeMolay Chapter and the status?
NO YES Year Chapter Status
List your relative/s who may be a Freemason, DeMolay or member of any Masonic appendant organizations
Name Relationship Lodge / Chapter / Others
References: List at least 2 friends whom you have known for at least a year.
Name of friend Age E-mail Mobile No.
By signing this petition, you are hereby agreeing to join DeMolay, and live by the virtues and precepts of love of
parents, belief in God, courtesy, comradeship, fidelity, cleanness and patriotism and be an active member.
Name of Petitioner Signature of Petitioner Date signed Date submitted
Date Presented Date Elected Date of Initiatory Degree Date of DeMolay Degree
Action on Petition Date Form 10 Submitted SCOD Official Receipt No. DeMolay ID No.
Approved Denied
IMPORTANT: The Petition Fee of P800.00 shall be directly deposited by the Petitioner or his parent to the Bank of the
Philippine Islands (BPI); Current Account No. 4981-0018-48 under the account name of: “Supreme Council Order of DeMolay”.
Attach the photocopy of the deposit slip to this Petition Form when submitting to the DeMolay Chapter and to Supreme Council,
Order of DeMolay. The DeMolay Chapter is not allowed to receive payment of the Petition Fee due to the Supreme Council
Order of DeMolay. If the Petitioner is denied membership by the DeMolay Chapter, the Petition Fee paid shall be refunded by
the Supreme Council Order of DeMolay to the Petitioner. The DeMolay Chapter in accordance to their Chapter By-Laws, may
collect the fees / dues for the Chapter in addition to the Petition Fee after being elected into membership.
DeMolay fully adheres and supports RA 8049 or the Anti-Hazing Law. Hazing is NOT allowed and NOT tolerated in DeMolay.
For any concern regarding the Petition for Membership, including hazing, please feel free to get in touch with the Chapter
Advisor or the Master Councilor to discuss your concern. Your safety and well-being are our prime concern.