| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | David of Bernham, bishop of St Andrews (d.1253) | dauid | David, minister of church of St Andrews | 1209 × 1253 |
| Beneficiary | Melrose Abbey (fd.1136) | beate marie de melros | Blessed Mary of Melrose | 1147 × 1309 |
| Sealer | Matthew of Newton, abbot of Melrose (1246-61) | mathei | Sir Matthew, abbot of Melrose | 1246 × 1253 |
| Sicut Clause | Robert of Bernham, rector of Tyninghame | roberti | Robert, our brother | 1255 × 1255 |