A copy of this form can be given to your solicitor with a further copy being given to The Lychway Funeral Directors to be kept in their company’s funeral pre-arrangement file. Your Name (required)
Your Email (required)
Venue for Service
Burial or Cremation
Music/Hymns
Officiant/Celebrant
Flowers
Donations to
All deaths that occur in New Zealand are required to be registered at the Department of Internal Affairs. The following information is requested Full name
Name at Birth (if different)
Address
Occupation
Date of Birth
Place of Birth
Ethnic Origin
War Service Number
War
Rank
Unit/Regiment
Father’s Full Name
Father’s Occupation
Mother’s Full Name
Mother’s Occupation
Mother’s Maiden Name
Spouse’s Full Name
Place of Marriage
Age at Marriage
Daughter’s Date of Birth
Son’s Date of Birth
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