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EMBASSY OF LEBANON Canberra APPLICATION FOR DEATH REGISTRATION

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					EMBASSY OF LEBANON
     Canberra


                            APPLICATION FOR DEATH REGISTRATION

* SUPPORTING DOCUMENTS REQUIRED:
   1 - The Death Certificate, legalized by the Statel Office of the Department of Foreign Affairs
      and Trade, plus one photostat copy. (It requires, afterwards, to be legalised by the
      Embassy before proceeding with the registration. A fee for this legalization only will be
      due, not for registration).
   2 – The Deceased Lebanese passport and Lebanese ID Card or an Extract of a recent
      Individual or Family Civil Registry Record (“Ikhraj Kayd”), plus one photostat copy.
   3 - A Money Order or a Bank Cheque in the amount of A$16.00 payable to the ‘Embassy of
      Lebanon’ for the legalization of the Death Certificate.
   4 - A self-addressed, stamped (or Priority Prepaid) return envelope.

* PLEASE TYPE OR PRINT
A. Deceased’s Full Name (Arabic & English): ……………………………………………………
   …………………………………………………………………………………………………..
   Father's Name: ………………………………………………………………………………….
   Mother's Maiden Name: ………………………………………………………………………..
   Place & Date of Birth: ………………………………………………………………………….
   No &.Place of Registry (District & Caza) in Lebanon (Sijil alnoufous): ……….……………...
   …………………..…………………………….……………….………………………………..
   Deceased’s address, Telephone No. in Australia: ……………………………………………...
   ….……………………………………………………………………………………………….
   Marital Status: (if married state spouse’s & children full name, Date & Place of birth of each)
   ………………………………………………………………………………………………..…
   ………………………………………………………………………………………………..…
   …………………………………………………………………………………………………..
B. City & State of Death: …………………………………….. Date of Death: …………………..
   Certificate No. & Date: …………………………………………………………………………
   Death caused by: ………………………………………………………………………………..
C. Applicant's telephone number & address in Australia: .………………………………………..
   …………………………………………………………………………………………………..
                        Date and Signature of Applicant: ………………………………………….

--------------------------------------------------------------------------------------------------------------------
FOR OFFICIAL USE ONLY:

               The Embassy of Lebanon in Canberra certifies that the Death Certificate of late:
…………………………………………………………………………………………………... is
registered with the Embassy and was forwarded to the Ministry of Foreign Affairs & Emigrants
under No.       / 3, dated   /  / 2004 in Pouch No.     / 04 sent on     / / 2004.

                                                                                      Canberra,        /    / 2004
Signed:




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Description: EMBASSY OF LEBANON Canberra APPLICATION FOR DEATH REGISTRATION