Partney Cemetery Application for interment
Appliation for interment.
Please contact the Clerk for a paper copy.
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Title, Christian Name(s) and Surname of deceased |
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Address
Postcode |
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Age of the deceased
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Address where the death occurred
Postcode |
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Date of death (day/month/year)
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Parish in which death occurred
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Day, Date and Time of Funeral and approx time of interment at the Cemetery |
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Religion and Name of Minister
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Has an existing Grave or plot been pre-purchased (Grant of Exclusive Right of Burial) If yes please attach a copy of the grant |
Yes |
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No |
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Plot Reference Number |
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Depth of Grave |
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Size of Coffin/casket |
Length |
Width |
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Name and address of person responsible for funeral
Telephone number and Email address (if held) |
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Name of Funeral Directors
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Contact Name and Address of Funeral Directors Telephone Number |
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Date |
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(Personal information will not be disclosed to third parties and will only be used for the purpose for which it has been collected).