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KofC Membership (Alberta)
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Degree Exemplification Report Form
NORTHERN ALBERTA
Jurisdiction
(Required)
District Number
(Required)
Degree Date
(Required)
MM slash DD slash YYYY
Host Council Number
(Required)
Submitted by
(Required)
Title
(Required)
Membership Number
(Required)
Only submit one report per Degree. DO NOT report multiple Degrees on a single form.
Degree Exemplified (Check only one):
(Required)
Exemplification of Charity, Unity and Fraternity
Admission/1st Degree
Formation/2nd Degree
Knighthood/3rd Degree
Location:
Church
Council Chamber
Other
Team Council:
Team Name:
Conferring Officer Name:
Honoree (If Designated):
Total Number of Candidates:
Length of Degree:
Candidate Details (for Exemplification of Charity, Unity and Fraternity only)
Council Number
Priests
Advancing Members
Online Members
Total Observers
Participating Councils – New Members Only
Council Number
New Members
Additional Council 1
New Members from Additional Council 1
Additional Council 2
New Members from Additional Council 2
Additional Council 3
New Members from Additional Council 3
Additional Council 4
New Members from Additional Council 4
Additional Council 5
New Members from Additional Council 5
Additional Council 6
New Members from Additional Council 6
General Observations
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