Death Registration Details

The following information is required by Births, Deaths and Marriages to complete the Death Registration.

Full given name of deceased:*
Residential address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Occupation:*
Date of birth:
Place of birth:
Date of arrival in NZ (if born overseas):
Details of parents
Full name of mother:
Mother's occupation:
Mother's maiden name:
Full name of father:
Father's occupation:
Marriage(s) in date order
Spouse full name:

Maiden name if female
Your age at marriage:
Where married:
Spouse full name:

Maiden name if female
Your age at marriage:
Where married:
Spouse full name:

Maiden name if female
Your age at marriage:
Where married:
Wife/Husband date of birth:

dd/mm/yyyy
Children
First names and birth dates of your children.
Child 1 - Full name:
Birth date:
Child 2 - Full name:
Birth date:
Child 3 - Full name:
Birth date:
Child 4 - Full name:
Birth date:
If an ex-serviceman or woman
State service:
Service number:
Rank:
Overseas service:
NZ service:
Specific honours or JP:

Details of parents