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Personal
Surname
Christian Names
Address
Phone
Date of Birth
Years in Australia
Marital Status
Age at Marriage
Place of Marriage
Spouse Surname
Spouse Christian Names
Details of previous marriage
Occupation
Pension Type
Pension Number
Doctor
Address
Phone
 
Family
Father
Surname
Christian Names
Occupation
 
Mother
Surname
Christian Names
Occupation
 
Children
Child 1 Surname
Child 1 Christian Names
Child 1 Date of Birth
 
Child 2 Surname
Child 2 Christian Names
Child 2 Date of Birth
 
Child 3 Surname
Child 3 Christian Names
Child 3 Date of Birth
 
Child 4 Surname
Child 4 Christian Names
Child 4 Date of Birth
 
Child 5 Surname
Child 5 Christian Names
Child 5 Date of Birth
 
Contacts
Next of Kin
Surname
Christian Names
Address
 
Preferences
Place of Funeral Service
Burial/Crematorium
 Burial Crematorium
Coffin/Casket
 Coffin Casket
Press Notice
 Yes No
Mourning Car(s)
 Yes No
Celebrant
 Yes No
Viewing
 Yes No
Flowers
 Yes No
Photo Imaging
 Yes No
Refreshments
 Yes No
 
Comments / More Information
 
Any personal information you provide in your application will be treated in accordance with the principles set out in the 'Information Privacy Act 2000'. You are able to request access to the information that we hold about you, and to request its correction if necessary.
The information you provide to us is required to help us process your application and notify you of matters concerning it. We also need the information to perform our functions, comply with our obligations and exercise our rights under the 'Cemeteries and Crematoria Act 2003'. Except for information you are required under that legislation to submit with your application, you are not obliged to provide any personal information. However, should you choose not to provide this information, we may not be able to process your application or provide the services to you for which the information is required.
Under the "Cemeteries and Crematoria Act 2003", we also are required to keep records containing certain information regarding interments, cremations and rights of interment. Members of the public are entitled to have access to those records.