Details required for registration of death... DECEASED PERSON:


First names (in full): Surname:


Usual Occupation: Usual Residence:


PLACE OF BIRTH OF DECEASED: Town/Place:


State:


Place of death: Marital Status:


Country: Period of residence in Australia:


If widowed, date and place of death of wife or husband: MARRIAGE PARTICULARS: First Marriage: Town/Place:


State: At what age: Marital Status:


If widowed, date and place of death of wife or husband: PARTICULARS OF CHILDREN: (in order of birth) First Names (in full)


Date of birth to whom: Country: Date of birth:


FATHER OF DECEASED: First Names (in full): Surname:


MOTHER OF DECEASED: First Names (in full): Surname:


Occupation: Occupation: Funeral Planning Guide | 29


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