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BORANG PENDAFTARAN KEMATIAN
ST. MICHAEL'S PARISH PENAMPANG
P.O.BOX 110, 89507 PENAMPANG, SABAH.
TEL: 088711009 / 715804 FAX: 088712614 HP: 0102011009 (WHATSAPP SAHAJA)
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A. MAKLUMAT SI MATI
Nama penuh Kristian
*
(Yang ditulis dalam sijil permandian atau nama seperti dalam kad pengenalan)
Your answer
Bangsa
*
Your answer
No. Kad Pengenalan
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(Cth: 800101-12-1234)
Your answer
Alamat tempat tinggal
*
Your answer
Tarikh lahir
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(Cth: 01-01-1980)
Your answer
Tempat lahir
*
Your answer
Tarikh permandian
(Cth: 01-01-1980)
Your answer
Tempat permandian
(Cth: Gereja St. Michael Penampang)
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Tarikh meninggal
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(Cth: 01-01-1980)
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Tempat meninggal
*
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Sebab kematian
*
Your answer
Cemetery
*
Your answer
B. MAKLUMAT KELUARGA TERDEKAT
Nama Isteri/Suami
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Your answer
No. Tel Isteri/Suami
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Anak - anak
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Nama yang boleh dihubungi
*
(Wakil ahli keluarga)
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No. Tel
*
(Wakil ahli keluarga)
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