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Ashes interring permit

Permit for Interring Ashes

Interring of Ashes into an Ashes allotment or into an existing grave.

Funeral Director

ABN

Address 1* - required

Address 2

City State Postcode* - required

Telephone number

Email

Cemetery* - required

New Dubbo Cemetery Old Dubbo Cemetery Wellington Lawn Cemetery Wellington Memorial Cemetery Rawsonville Cemetery Eumungerie Cemetery Ballimore Cemetery Holy Family Cemetery Geurie Cemetery Yeoval Cemetery Stuart Town Cemetery Euchareena Cemetery Elong Elong Cemetery Spicers Creek Cemetery maximum 1 allowed

Section* - required

Columbarium Wall orientation* - required

Ashes number or Grave Number* - required

Date Ashes interred* - required

Time of interment* - required

Full Name of Deceased* - required

Gender:* - required

Male Female

Last residence of deceased* - required

Date of Birth* - required

Age at time of death* - required

Date of death* - required

If interring ashes in a pre-existing grave, name of person buried in the grave

Next of Kin* - required

Relationship* - required

Address 1* - required

Address 2

City State Postcode* - required

Telephone number

Email

Applicant* - required

Address 1* - required

Address 2

City State Postcode* - required

Telephone number

Email

Mandatory field(s) marked with *

Last Edited: 12 Jan 2021

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