Online Enquiry - Douglas Cemeteries - Douglas Shire Council

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Cemetery enquiry

Online form to lodge an enquiry for historical records search of Mossman & Port Douglas Cemeteries

Section 1 - Applicant details
Cemetery Location
- Mossman Cemetery
- Port Douglas Cemetery
- Unknown
Applicant details*
First Surname
Phone Number
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Section 2 - Deceased details
Full name of deceased - 1*
Given Name/s Surname
Date of Birth
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Date of Death
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Full name of deceased - 2
Given Name/s Surname
Date of Birth
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Date of Death
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Full name of deceased - 3
Given Name/s Surname
Date of Birth
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Date of Death
DD slash MM slash YYYY

If unknown, please add any known information in the additional information box below
Additional information
Section 3 - Declaration
Consent
I agree to the privacy policy.
Douglas Shire Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which the council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with the Local Government Act 2009 so that we can assess and finalise your application. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.

Online Enquiry – Douglas Cemeteries

Cemetery enquiry

Section 1 - Applicant details

Section 2 - Deceased details

Section 3 - Declaration

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