APPLICATION FOR DEATH REGISTRATION
Supporting Documents Required:
Two Copies (Notarized) of:
- Deceased Lebanese ID card or a recent Family Civil Registry Record(Ikhraj
Kayd) + Passport.
- Original Death Certificate + the two copies.
- Self-addressed, stamped envelope
- $10.00 money order processing fee
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Name and Surname: _____________________________________________________
Date & Place of Birth:_____________________________________________________
Father's Name:__________________________________________________________
Mother's Maiden Name:___________________________________________________
Place & Number of Registery in Lebanon(District &
Caza):______________________
Religion:________________________________________________________________
Marital Status(Single, Married or
Widow):_____________________________________
Name of Spouse's:________________________________________________________
Place of Death:___________________________________________________________
Date of Death(DD/MM/YY)__________________________________________________
_________________________________________________________________________
Applicant's address, telephone number in the USA:___________________________
________________________________________________________________________
Date and signature of
applying:_______________________________________________