Personal Profile Record

  1. Personal Profile Record

    Bethel Funerals Personal Profile Record
    Download PDF (1.5MB)

    Please take a few minutes to fill in this brochure and return it to us. Some of the sections may not apply to you, so just leave them blank.

    The information you give us will be helpful to you, your family and Bethel Funerals to:

    • prearrange a funeral
    • write a prepaid contract
    • complete documentation at the time of the funeral
    • ensure your wishes are carried out

  2. Surname(*)
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  3. Christian Names(*)
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  4. Address(*)
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  5. Suburb(*)
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  6. Postcode(*)
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  7. Phone
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  8. Mobile
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  9. Email
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  10. Date of Birth
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  11. Years in Australia
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    (if not born here)
  12. Place of Birth
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    (City, State, Country)
  13. Usual Occupation during working life
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  14. Pension Type & Number
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  15. Doctor Details
  16. Name
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  17. Address
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  18. Phone
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  19. Marriage

  20. Spouse's Full Name
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  21. Age at Marriage
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  22. Place of Marriage
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    (City, State, Country)
  23. Maiden Name
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  24. Spouse's Full Name
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  25. Age at Marriage
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  26. Place of Marriage
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    (City, State, Country)
  27. Maiden Name
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  28. Family

  29. Your Father's Full Name & Surname
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  30. His usual Occupation during working life
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  31. Mother's Full Name & Surname (Maiden Name)
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  32. Her usual Occupation during working life
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  33. Your Children's Names and Birthdates (include Surnames if different from yours)
  34. Child1 Name
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  35. Child1 Birthdate
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  36. Child2 Name
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  37. Child2 Birthdate
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  38. Child3 Name
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  39. Child3 Birthdate
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  40. Child4 Name
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  41. Child4 Birthdate
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  42. Child5 Name
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  43. Child5 Birthdate
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  44. Contact

  45. Next of Kin Details
  46. Name
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  47. Address
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  48. Phone
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  49. Executor Details
  50. Name
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  51. Address
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  52. Phone
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  53. Solicitor/Place your Will is held
  54. Name
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  55. Address
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  56. Phone
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  57. Preferences

  58. Place of Funeral Service
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  59. Cemetery/Crematorium Details
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  60. Please add any information below, that you would like known relating to: Military services, ethnic, religious or family customs, associations, etc.
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  61. Any specific songs, hymns, poems, music?
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  62. Anything else you would like us to know or that we should be aware of?
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  63. Today's Date
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  64. Thank you for taking the time to provide this information. Be assured all details given will be kept in the strictest confidence and only used as stated. This document is in no way legally binding.

Victoria - Mitcham

CALL (03) 9873 8866 - 24hrs

Serving Melbourne Metro and Regional Victoria

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Victoria - Mornington

CALL (03) 5975 1955 - 24hrs

Serving Mornington Peninsula

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Queensland

CALL (07) 3343 8444 - 24hrs

Serving Brisbane, Gold Coast and Sunshine Coast

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