GSC Obituary Information Form
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Your Name *
Tell us your name who is submitting this form
Your contact phone number *
Tell us your phone number
Your Email Address
Please tell us your contact email address
Name of the Deceased *
Name of person who passed away
Husband/ Wife of
Tell us who the person was
Father/Mother of
Tell us who the person was
Date and Time of Passing *
Date and time when person passed away
MM
/
DD
/
YYYY
Time
:
Age *
Age of the deceased
Place Deceased
Place where deceased
Details of Funeral
Name, address of Funeral
Date and Time of Funeral
Date and time of Funeral
MM
/
DD
/
YYYY
Time
:
Details of Besnu/Bhajan
Name and address of besnu/ bhajan
Date and Time of Besnu/ Bhajan
Date and time of besnu
MM
/
DD
/
YYYY
Time
:
End Time
End time of Besnu/ Bhajan
Time
:
Email, Facebook Options *
Tell us how you want members to be informed
Required
Name and Address where flowers should be sent (Courtesy of GSC)
Please tell us date, time and location of place where flowers from GSC should be sent
Do you need any assistance with last rites from GSC? *
I hereby confirm that above information is correct to my knowledge. Please contact me if any questions. *
Please confrim if all information above is accurate. GSC will not take any responsibility for mistakes caused in error.
Required
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