PRE-ARRANGEMENT FORM

A copy of this form can be given to your solicitor with a further copy being given to The Funeral Director 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