Schedule Application for registration of a death - Registration of Deaths Abroad Regulations 1985 - Application for registration of a death abroad

Application for registration of a death Application for registration of a death abroad

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PARTICULARS OF DECEASED

1	Surname
2	Christian or given names
3	Date and time of death (as precisely as is known)
4	Place of death
5	If death occurred on board a flying craft or ship:(a) name or flight number of flying craft or name of ship(b) name of carrier or registered owner(c) location of craft or ship at time of death(d) port of origin of the flight or voyage(e) port of destination of the flight or voyage
6	Sex
7	Age at death
8	Place of birth
8A	Last known occupation
9	Nationality
10	Conjugal status
11	Name of spouse
12	Names and ages of living children
13	Father’s full name
14	Mother’s full name and maiden surname
15	Usual place of residence
16	Where the person resided in a State or Territory of Australia at any time:(a) the address or addresses at which the person resided in any such State or Territory, so far as known to the applicant(b) the period or periods during which the person resided at that address, or each of those addresses, so far as known to the applicant
17	Grounds (if any) on which the applicant has reason to believe that the person:(a) was an Australian citizen(b) ordinarily resided in Australia or in an external Territory of Australia(c) was in receipt of a pension, allowance or benefit under the Social Security Act 1991(d) was in receipt of a pension, allowance or benefit under the Veterans’ Entitlements Act 1986 or the Military Rehabilitation and Compensation Act 2004

PARTICULARS OF BENEFITS PAYABLE BY COMMONWEALTH

18	If the deceased was in receipt of a salary, pension, allowance or other benefit from the Commonwealth or an authority of the Commonwealth, details of the benefit

23	Surname
24	Christian or given names
25	Usual place of residence and other address (if any) for correspondence
26	Relationship to deceased
27	If not related, duration of period applicant knew deceased
28	Grounds on which the applicant knows the identity of the deceased
29	Title or rank
30	Occupation
31	Whether an application for registration of the death has been made to any other authority
32	Authority to which that application was made
33	Whether that application was refused
34	Signature of applicant certifying correctness of particulars
35	Date of signing