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1985 No. 304 REGISTRATION OF DEATHS ABROAD REGULATIONS - SCHEDULE 1
SCHEDULE 1
FORM 1 Regulations 3 and
4
COMMONWEALTH OF AUSTRALIA
Registration of Deaths Abroad Regulations
APPLICATION FOR REGISTRATION OF A DEATH ABROAD 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 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 1947
(d) was in receipt of a pension, allowance or benefit under the
Repatriation Act 1920 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 MEDICAL PARTICULARS 19 Cause
of death (if known) 20 Name of medical practitioner, coroner or other
authority furnishing medical particulars PARTICULARS OF
BURIAL/CREMATION (omit whichever is not applicable) 21 Date of
burial/cremation 22 Place of burial/cremation PARTICULARS OF APPLICANT
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
FORM 2 Regulations 3 and
4
COMMONWEALTH OF AUSTRALIA
Registration of Deaths Abroad Regulations
APPLICATION FOR REGISTRATION OF THE DEATH ABROAD OF A
PERSON WHO HAS DISAPPEARED PARTICULARS OF PERSON WHO HAS DISAPPEARED 1 Surname
2 Christian or given names 3 Date and time when person was last seen alive 4
Place where person was last seen alive 5 Names and addresses of persons who
last saw that person alive 6 Such particulars of the time at which, the date
on which, and the circumstances in which, the person disappeared as are known
to the applicant which, the person disappeared as are known to the applicant 7
Particulars of the grounds the applicant has for believing that the person has
died 8 Particulars of the flying craft or ship from which the person
disappeared -
(a) name or flight number of flying craft or name of ship
(b) name of carrier or registered owner
(c) location of flying craft or ship at time of disappearance
(d) port of origin of the flight or voyage
(e) port of destination of the flight or voyage 9 Sex 10 Age at time of
disappearance 11 Place of birth 12 Nationality 13 Conjugal status 14
Name of spouse 15 Names and ages of living children 16 Father's full
name 17 Mother's full name and maiden surname 18 Usual place of
residence 19 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 20
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 1947
(d) was in receipt of a pension, allowance or benefit under the
Repatriation Act 1920 PARTICULARS OF BENEFITS PAYABLE BY
COMMONWEALTH 21 If the person was in receipt of a salary, pension,
allowance or other benefit from the Commonwealth or an authority of
the Commonwealth, the nature of the benefit DOCUMENTS IN SUPPORT OF
APPLICATION 22 List the documents furnished as evidence that the
person is dead PARTICULARS OF APPLICANT 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 person who has disappeared 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
FORM 3 Paragraph 8
(a)
COMMONWEALTH OF AUSTRALIA
Registration of Deaths Abroad Regulations CERTIFICATE OF AN ENTRY IN THE
REGISTER OF DEATHS ABROAD I, (insert full name), the Registrar of Deaths
Abroad, certify that the above is a true copy of an entry in the Registrar of
Deaths Abroad kept by me under the Registration of Deaths Abroad Act 1984 .
Dated 19 .
Registrar
FORM 4 Paragraph 8
(b)
COMMONWEALTH OF AUSTRALIA
Registration of Deaths Abroad Regulations CERTIFICATE OF AN EXTRACT FROM AN
ENTRY IN THE REGISTER OF DEATHS ABROAD I, (insert full name), the Registrar of
Deaths Abroad, certify that an entry in the Register of Deaths Abroad kept by
me under the Registration of Deaths Abroad Act 1984 gives the following
particulars concerning the death of (insert name of person who has died or of
person who has disappeared and is deemed to have died) - Date of death or Date
on which person was last seen alive* Place of death or Location of flying
craft or ship when person was last seen alive*
Dated 19
Registrar
*Omit whichever is not applicable
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