Document ID: chunk:federal_register_of_legislation:F2018L00351:schedule:1:p2
Version: federal_register_of_legislation:F2018L00351
Segment Type: schedule
Provision Reference: sch 1 (pt 2/3)
Character Range: 16038–20925

related, period applicant knew the deceased

If not related, grounds on which the applicant knows the identity of the deceased

Has an application for registration of death been made to any authority and, if not the Registrar, which authority

If an application for registration of death was made to any authority, was the application refused and reason

DECLARATION BY APPLICANT
I,                                                                                                                                                                                                                                                          being a
 (full name)                                                                                                                                                                                                                                                   (occupation)
of
 (address)
Email address:
certify that I have read this form thoroughly and that the particulars provided are correct. I understand that giving false or misleading information is a serious offence. I believe that the statements in the declaration are true in every particular.
Signature:                                                                                                                                                                                                                                                  Date:

Form 2—Application for registration of the death abroad of a person who has disappeared

              BIRTHS, DEATHS AND MARRIAGES

              APPLICATION TO REGISTER A DEATH ABROAD OF A PERSON WHO HAS DISAPPEARED
Form 2 ‑ ADD  Registration of Deaths Abroad Act 1984 (Cth)
              Registration of Deaths Abroad Regulations 2018 (Cth)

Applicant's phone number        Registration Number
                                (Office use only)

PARTICULARS OF DECEASED
Surname                                                                  Given Name(s)

Date last seen alive                                                     Time last seen alive                                         Place last seen alive
 / /                                                                     am/pm
Date of Birth                                                            Gender                                                       Place of Birth
 / /
Nationality                                                              Last known occupation

Relationship status (e.g. married, de facto, single, divorced, widowed)  Surname of spouse or de facto partner (if applicable)

Former name of spouse or de facto partner (if applicable)                Given Name(s) of spouse or de facto partner (if applicable)

Children of the deceased (first name, surname)                           Date of Birth                                                Gender                 Deceased
                                                                          / /                                                                                oNo oYes
                                                                          / /                                                                                oNo oYes
                                                                          / /                                                                                oNo oYes
                                                                          / /                                                                                oNo oYes
Parent Surname (e.g. mother)                                             Parent Former Surname (if any)                               Parent Given Name(s)

Parent Surname (e.g. father)                                             Parent Former Surname (if any)                               Parent Given Name(s)

DETAILS OF RESIDENCE
Usual place of residence

Where person resided in Australia at any time, the address/es at which the person resided   Period of residence

PARTICULARS OF BENEFITS PAYABLE BY COMMONWEALTH
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 1991 (d) was in receipt of a pension, allowance or benefit under the Veterans' Entitlements Act 1986 or the Military Rehabilitation and Compensation Act 2004.
(a)
(b)
(c)
(d)
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 that benefit.

PARTICULARS OF WITNESSES
Surname of witness who last saw person alive  Given Name(s) of witness who last saw person alive

Address of witness who last