THE CATHOLIC CEMETERY
Miri
Particulars of Deceased
Name of deceased : __________________________________________________
Address : __________________________________________________
__________________________________________________
Age : ________________________ Sex: _________________
Nationality : ________________________ Race: ________________
Cause of death : __________________________________________________
Date of death : __________________________________________________
Date of burial : __________________________________________________
Death Certificate No. : __________________________________________________
Plot No. : __________________________________________________
Buried by : __________________________________________________
(Name of Priest / Minister)
CEMETERY -- RULES AND REGULATIONS. (guidelines)
1. Applicant must first seek the consent of his/her priest/minister regarding funeral plans before coming to the church office regarding burial plot.
His or her Church family member/ leader is to communicate with the Church office regarding the burial.
2. The Catholic cemetery is for those who profess the Catholic faith.
3. A fee of RM4300.00 must be paid on acquiring a concrete plot plus construction of the tombstone.
(fee includes both the plot and construction of the tombstone)
4. No alterations or modifications are permitted to be made on the approved design of the tombstone.
(examples: adding angels, flowers vase, additional crosses etc)
5. No VALUABLES (example - gold, jade etc ) are permitted to be buried together with the deceased.
6. The Cemetery Committee will from time to time add other rules & regulations as they deem fit to do so.
Name: _____________________________________________________________________
Relation to the deceased: ______________________________________________________
Address: ___________________________________________________________________
Telephone: ______________________________ (H) _________________________ (O)
Signature: ___________________________ Date : ______________________________
(To be signed in duplicate -1 copy for the bereaved family and another kept in the Church Office.