USC-DC Deputy for the Orient SGIG/GIG Nomination Certification Form
All submissions are due NLT September 1st of each year.
Nomination Grade
*
Please Select
SGIG
GIG
Nomination fees are to be mailed to USC-DC (1835 7th Street NW. #153 Washington, D.C. 20001).
Name (As it will appear on the Patent)
*
Prefix
First Name
Initial
Last Name
Suffix
Consistory/Number/Orient
*
Consistory Name
Number
Orient
Nominee Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
File Upload: Nomination Form, Bio, and Photograph.
*
Browse Files
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Note: Nominations submitted after July 1st will incur a $100 late fee per application.
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of
Measurements Verification
*
Crown Size
Suit Size
Height
Ring Size (GIG)
Deputy for the Orient Certification
*
Name
Orient
Additional Comments
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Should be Empty: