home  costs  additional  pre-paid


Personal Profile Record

Information that is required when pre-arranging and pre-paying funerals, necessary for the Births, Deaths, & Marriages Registry, Victoria. This is an example form, you can complete it and print it out. ..



Please provide the following contact information:

Full Name
Title
Street Address
Address (cont.)
City
State
Post Code
Country
Work Phone
Home Phone
FAX
E-mail
Date of Birth
Place of Birth
Residence in Australia, Years
Age when Married
Place of Marriage
Full Name of Spouse
Children & their Dates of Birth
Other Marriages
Fathers Name
Fathers Occupation
Mothers Name
Mothers Maiden Name
Mothers Occupation
Pension Particulars
Usual Occupation during working life
Person to contact at time of death

 


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