Death report

Contact Person (*)

(*) required

Email (*)

Telephone (*)

Surname of deceased (*)

Christan names of the deceased (*)

Country of death (*)

Place of death (*)

Date of death (*)

Sex of the deceased (*)
 Male Female

 

Date of birth (*)

Place of birth (*)

Last residence of the deceased (*)

Full names of the last spouse (*)

Names and christian names of the father (*)

Names and christian names of the mother (*)

Place of burial (*)