GLDCI

Membership application form

Fields marked with an asterisk are required. Your data are treated confidentially by the secretariat of the Grand Lodge.

Civil status

Title *Last name *First name *Birth name Date of birth *Place of birth *Nationality *Gender

Marital situation

Status *Spouse's name (if applicable) Number of children

Coordonnées

E-mail *Phone *WhatsApp Address *City *Postal code Country *

Professional situation

Profession *Employer / organisation Professional status *Education

Motivation (why do you wish to be initiated?) *

How did you hear about the GLDCI?

Documents to attach

Identity document (PDF or image) *Birth certificate *Identity photograph 1 *Identity photograph 2 *Detailed CV (PDF) *

Membership fees will be indicated after the first evaluation of your application.

Minimum age: 21.

I declare on my honour that the information given is accurate, that I am at least 21 years of age, free and of good repute, and moved by a sincere approach.I authorise the GLDCI secretariat to process my data and documents solely for the instruction of my application.

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