Your Full Name
Your Address
Your Occupation
Your Date of Birth
Your Place of Birth
How long have you lived in NZ Your Ethnic Origin
War Service Number
War
Rank
Unit Regiment
Venue for Service
Burial or Cremation
Ashes Request Interred Scattered Where Father's Full Name Father's Occupation Mother's Full Name Mother's Occupation Mother's Maiden Surname Marital Status MarriedPermanently SeparatedDefactoSpouse Deceased Spouse's Full Name Current Age of Spouse Place of Marriage Age at Marriage Previous Marriage Daughter's Dates of Birth Son's Dates of Birth Subject
Δ