| 1 | Login Account Details | Default – Name (Heading) | | | Login Account Details |
| 1.5 | User ID | Default – User ID | id | Yes | |
| 2 | Username | Default – Username | | Yes | |
| 3 | First Name | Default – First Name | first_name | Yes | |
| 4 | Last Name | Default – Last Name | last_name | Yes | |
| 5 | E-mail | Default – E-mail | | Yes | |
| 6 | Password | Default – Password | | | |
| 7 | Repeat Password | Default – Repeat Password | | | Repeat Password |
| 8 | Default – About Yourself (Heading) | | | | Default – About Yourself (Heading) |
| 9 | Masonic Rank | Select | custom_field_pb_masonic_rank | No | |
| 10 | Mother Lodge | Select | custom_field_pb_mother_lodge | No | |
| 11 | Affiliated Lodge | Input | custom_field_pb_affiliated_lodge | No | |
| 12 | HML Roll Number | Number | custom_field_pb_roll_number | No | |
| 13 | Grand Lodge Number | Number | custom_field_pb_grand_lodge_number | No | |
| 14 | Important Masonic Dates | Heading | | | Important Masonic Dates |
| 15 | Balloting Date | Datepicker | custom_field_pb_balloting_date | No | |
| 16 | Balloting successful | Select | custom_field_pb_balloting_successful | No | |
| 17 | Date EA | Datepicker | custom_field_pb_date_ea | No | |
| 18 | Date FC | Datepicker | custom_field_pb_date_fc | No | |
| 19 | Date MM | Datepicker | custom_field_pb_date_mm | No | |
| 20 | Date First Installed | Datepicker | custom_field_pb_date_first_installed | No | |
| 21 | Date Passed GLA | Datepicker | custom_field_pb_date_passed_gla | No | |
| 22 | Current Officer Details | Heading | | | Current Officer Details |
| 23 | Is Line Officer | Select | custom_field_yn_line_officer | No | |
| 24- | Officer Position | Select | custom_field_officer_position | No | |
| 25 | Personal Information | Heading | | | Personal Information |
| 26 | Birthdate | Datepicker | custom_field_pb_birthdate | No | |
| 27 | Mailing Address – Street 1 | Input | custom_field_pb_mailing_address_street1 | No | |
| 28 | Mailing Address – Street 2 | Input | custom_field_pb_mailing_address_street2 | No | |
| 29 | Mailing Address – City | Input | custom_field_pb_mailing_address_city | No | |
| 30 | Mailing Address – Prov | Input | custom_field_pb_mailing_address_prov | No | |
| 31 | Mailing Address – Postal Code | Input | custom_field_pb_mailing_address_postal_code | No | |
| 32 | Mail Summons By Post | Select | custom_field_mail_summons | No | |
| 33 | Phone 1 | Phone | custom_field_pb_phone_1 | No | |
| 34 | Phone 2 | Phone | custom_field_pb_phone_2 | No | |
| 35 | Significant Other | Input | custom_field_significant_other | No | |
| 36- | Job Description | Input | custom_field_job_description | No | |
| 37 | Additional Comments | Heading | | | Additional Comments |
| 38 | Additional Comments | Textarea | custom_field_additional_comments | No | |
| 39 | Avatar | avatar | avatar | No | |