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(07) 5491
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1559
REGISTRATION DETAILS REQUIRED BY BIRTHS, DEATHS & MARRIAGES
Full Name
Residential Address
Contact Email
Contact Phone
Date of Birth
Place of Birth
Town
State
Country
If born overseas, when did the deceased arrive in Australia?
Main Occupation during working life
Next of Kin
Full Name
Address
Home Phone
Mobile
Father of Deceased
First Name(s)
Surname
Occupation
Mother of Deceased
First Name(s)
Maiden Surname
Occupation
Marital Status
Married
Divorced
Widowed
Defacto
Never Married
First Marriage
Place
State
Country
Date
To Whom
Second Marriage
Place
State
Country
Date
To Whom
Third Marriage
Place
State
Country
Date
To Whom
Children of the Deceased
Full Name
DOB
Sex
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Service Options
Cremation
Burial
Minister of Religion
Celebrant
Location of Service
Gregson & Weight Chapel
Church
Graveside
Other Venue
Further Requests, Music, Photos, Refreshments, etc
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