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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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