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Funeral Booking Form

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    Funeral Directors Information
    Funeral Booking Form
    
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    Cemetery Assistant - Part time : Closing Date 22nd October 2021

The maximum number of form submissions has been reached. This form is currently not available.
- Please complete all of the details requested below. Once submitted your request will be confirmed by either an or a phone.
- Type of internment required REQUIRED
  If requesting the burial of cremated remains with a coffin burial please enter the details of the cremated remains seperately
  Please fill out this field.
- Select the type of lair required... REQUIRED Please fill out this field.
- If you have a deed for a lair please enter the details.
- Deed - Please indicate your position REQUIRED I have the deed I have lost the deed I would like a replacement (£35 fee at the time of burial & £55 outwith a burial) I would like a deed with a name change (£35 fee at the time of a burial & £55 any other time) For New lair Please fill out this field.
- Add section & lair number for previously owned lair or add 'new lair' Please enter valid data.
- Name of last person interred REQUIRED Please fill out this field. Please enter valid data.
- Requested 'Date' of Internment (to be confirmed by cemetery) REQUIRED
  Requested date will be confirmed by the cemetery
  Please fill out this field. Please enter a date.
- Requested 'Day' of Internment REQUIRED
  Requested the selected day...
  Please fill out this field. Please enter valid data.
- Requested time of Internment (to be confirmed by cemetery) REQUIRED
  Requested time will be confirmed by the cemetery
  Please fill out this field. Please enter valid data.
- Add outside dimensions of coffin (including handles) Please enter valid data.
- Name of Receiving Church or Parlour REQUIRED Please fill out this field. Please enter valid data.
- Details of the deceased
- Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
- Address of deceased REQUIRED Please fill out this field. Please enter valid data.
- Post Code REQUIRED Please fill out this field. Please enter valid data.
- Place of death REQUIRED Please fill out this field. Please enter valid data.
- Date deceased died REQUIRED Please fill out this field. Please enter a date.
- Age of deceased REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors details only
- Name of Funeral Director REQUIRED Please fill out this field. Please enter valid data.
- Name of Director/Administrator arranging funeral REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors (address for invoice purposes) REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors contact number REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors email address REQUIRED Please fill out this field. Please enter valid data.
- Applicants details
  For all applications including for a new lair.
- Name of applicant (person requesting the internment or new lair request) REQUIRED Please fill out this field. Please enter valid data.
- Address of applicant REQUIRED Please fill out this field. Please enter valid data.
- Post Code REQUIRED Please fill out this field. Please enter valid data.
- Contact number of applicant REQUIRED Please fill out this field. Please enter valid data.
- Legal Indemnity
  (must be completed in all cases by the applicant)
- Certify that I am (a), (b), (c), and that I have the legal right over this lair for this interment request. I take full responsibility for this request and all information hereby currently given & or any information given erroneously. REQUIRED (a) I am the title deed holder. (b) I am the legal heir of the title deed holder. (c) I am the representative of the title deed holder. Please fill out this field.
- I agree to St Conval's Terms & Conditions relating to my request for a burial with the cemetery.
- Full name - I confirm this is my signature (applicant requesting the burial) REQUIRED Please fill out this field. Please enter valid data.
- By checking the box I accept the Terms & Conditions set by St Conval's Cemetery and the Diocese of Paisley Trustees. (Applicant to tick) REQUIRED Applicant, I agree Please fill out this field.
Submit

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Funeral Booking Form

Please complete all of the details requested below. Once submitted your request will be confirmed by either an or a phone.

Details of the deceased

Funeral Directors details only

Applicants details

Legal Indemnity

I agree to St Conval's Terms & Conditions relating to my request for a burial with the cemetery.