Bereavement Post
Photo of Deceased
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of
Enter full name of deceased
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Of
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Enter Town / City of Residence
Formerly of
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Town / Country / Living Location
Place of birth
Passed Away Date
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-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Enter age
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Wife of:
Daughter of:
Mother of:
Mother in law of:
Sister of:
Sister in law of:
Daughter in law of:
Grandmother of:
Great Grandmother of:
Prathana Sabha Day
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Prathana Sabha Date
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Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Prathana Sabha Time
Hour Minutes
AM
PM
AM/PM Option
Venue Name
Prathana Sabha Address (Please put TBC if unknown)
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Prathana Sabha Zoom link
Funeral Day
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Funeral Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Funeral Time
Hour Minutes
AM
PM
AM/PM Option
Venue Name
Funeral Address (Please put TBC if unknown)
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Funeral Obitus link
Special messages from family
Example - Home address details or no home visits, Daily Prathana times, No flowers, Donation information
Information for online meetings as follows
Please use this space to list meeting log in details
Contact Name 1 (Follow directions in sublabel) - (For condolence messages)
Example - Name- 07123456789
Contact Name 2 (Follow directions in sublabel) - (For condolence messages)
Example - Name - 07123456789
Contact Name 3 (Follow directions in sublabel) - (For condolence messages)
Example - Name- 07123456789
Contact Name 4 (Follow directions in sublabel) - (For condolence messages)
Example - Name - 07123456789
Contact Name 5 (Follow directions in sublabel) - (For condolence messages)
Example - Name - 07123456789
Enter Surname here (for Family Na Jai Shree Krishna)
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Submitters Full name
*
First Name
Last Name
Submitters Phone Number
*
Please enter a valid phone number.
Format: 000000000000.
Submitters Email
*
example@example.com
Submit
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