Acceptance of Transfer of a Perpetual Interment Right

Details of New Holder/s
Details of Current Registered Holder/s
Interment Site
Authorisation
Privacy Declaration

Informaiton collected on this form is held in accordance with the Privacy and Personal Information Protection Act 1998.  Personal information is collected for a lawful purpose that directly relates to our primary function of providing cemetery/cremation services in accordance with the Cemeteries and crematoria Act 2013.  We will not collect any more information than is necessary to fulfil these functions.  Except as necessary to carry out these functions, we will not disclose your personal information to anyone without your consent unless legally required to do so.  We will take all reasonable steps to protect the security of any personal information held, be it stored in electronic or hard copy format.  You may request access to your personal information held by us, except in the circumstances set out in Part 2, Division 3 of the Privacy and Personal Information Protection Act 1998.

Mandatory field(s) marked with *