TATWORTH AND FORTON BURIAL FORM
DETAILS OF THE PERSON TO BE INTERRED
FULL CHRISTIAN NAME/S
SURNAME
ADDRESS
OCCUPATION
RELIGION/DENOMINATION
IF A MINOR PARENTS’ DETAILS
DATE OF DEATH
AGE
WHERE DEATH OCCURRED
HAS THE FUNERAL DIRECTOR RECEIVED
THE BURIAL OR CREMATION CERTIFICATE
DETAILS OF GRAVE AND DATE OF INTERMENT
NEW, REOPENED OR COMMON
SECTION AND PLOT NO.
NAME OF PURCHASER/OWNER OF
RIGHTS OF BURIAL
ADDRESS
OWNER OF RIGHTS OF BURIAL:
SIGNATURE SHOWING CONSENT
TO THIS INTERMENT
DATE AND TIME OF INTERMENT
SIZE OF COFFIN
COST OF GRAVE/ GOR PURCHASE
COST OF INTERMENT
FOR OFFICE USE
Entry made ?
No. IN REGISTER OF BURIALS
No. IN PURCHASED GRAVE BOOK
ENTRY IN INDEX BOOK
ENTRY IN REGISTER OF GRAVES +
SECTION, PLOT No.
FEES RECEIPT NUMBER
DEED of GRANT ISSUED
NEXT OF KIN & RELATIONSHIP
ADDRESS
UNDERTAKER & contact details
Other details