RGLSI

Members of Lodges in RGLSI need to select their name from the dropdown. Their details will be fetched from the database.

Attn, members of RGLSI : The member dropdown will list only those members whose Dates of Initiation, Passing and Raising are available on REGAL. If your name is missing on the member dropdown, please get in touch with your Lodge Secretary, to verify your data.

Constitution

Region

Lodge Name Lodge Name

APPLICATION No

Title

Name Name

RGLSI Id

Address

City

State

Mobile

REGISTRATION PARTICULARS

Donor Registration is inclusive of Spouse

Registration

Registration Amount

TRAVEL AND ACCOMODATION

After selecting the date, click on the clock icon at the base to select the time

Arrival Date and Time

Departure Date and Time

Mode

Travel Name

Staying at (Name of Hotel)

FOOD PREFERENCE

Mason

Spouse

Participating in Morning Breakfast at the venue

EMERGENCY CONTACT

Contact Person Name

Contact Mobile No

SPECIAL INSTRUCTIONS

Any request / special medical condition to be aware of

SPOUSE DETAILS

Name

Mobile

Attending Ladies Program

REMITTANCE PARTICULARS

Payment Type

Amount

Cheque/DD/Online Transaction No

Bank Name

INSTRUCTIONS

Cheque should be drawn in favor of RGLSI HYM 2024

In case of payment by Cheque / Demand Draft, kindly mention your name and RGLSI ID on the reverse of the Cheque / DD

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI HYM 2024
Bank : Saraswat Co-operative Bank Ltd.
Branch : Ponda, Goa
A/c Type : Savings A/c
A/c No. : 6100 0000 0042 262
IFSC Code : SRCB0000096

UPI ID : staticBJP0000000000732@axisbank

REGISTRATION FORM

Members of Lodges in RGLSI need to select their name from the dropdown. Their details will be fetched from the database.

Attn, members of RGLSI : The member dropdown will list only those members whose Dates of Initiation, Passing and Raising are available on REGAL. If your name is missing on the member dropdown, please get in touch with your Lodge Secretary, to verify your data.

Cheque should be drawn in favor of RGLSI HYM 2024 In case of payment by Cheque / Demand Draft, kindly mention your name and RGLSI ID on the reverse of the Cheque / DD

BANK ACCOUNT FOR REMITTANCE

Name of A/c : RGLSI HYM 2024 Bank : Saraswat Co-operative Bank Ltd. Branch : Ponda, Goa A/c Type : Savings A/c A/c No. : 6100 0000 0042 262 IFSC Code : SRCB0000096 UPI ID : staticBJP0000000000732@axisbank

Cheque should be drawn in favor of RGLSI HYM 2024

In case of payment by Cheque / Demand Draft, kindly mention your name and RGLSI ID on the reverse of the Cheque / DD

Name of A/c : RGLSI HYM 2024
Bank : Saraswat Co-operative Bank Ltd.
Branch : Ponda, Goa
A/c Type : Savings A/c
A/c No. : 6100 0000 0042 262
IFSC Code : SRCB0000096

UPI ID : staticBJP0000000000732@axisbank