Ashes interring permit

Permit for Interring Ashes

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

Funeral Director* - required

ABN* - required

Address 1* - required

Address 2

City State Postcode* - required

Cemetery* - required

New Dubbo Cemetery Ashes Section New Dubbo Cemetery inter into an existing grave Old Dubbo Cemetery inter into an existing grave maximum 1 allowed

Full Name of Deceased* - required

Last residence of deceased* - required

Gender:* - required

Male Female

Age at time of death

Date of death* - required

Date Ashes interred* - required

Section* - required

Ashes number or Grave Number* - required

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

Mandatory field(s) marked with *

Last Edited: 08 Feb 2017

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