Cemetery Reservation Application Form

APPLICANT INFORMATION

Last Name *

First Name *

Middle Name

Email Address *

Contact Number *

Complete Address *

Date of Birth

Civil Status

RESERVATION DETAILS

Type of Reservation *

Preferred Section

Purpose/Reason for Reservation *

Special Requests or Requirements

DECEASED INFORMATION (For Immediate Use)

Fill this section only if applying for immediate use

Full Name of Deceased

Date of Death

Relationship to Applicant

Age at Death

PAYMENT INFORMATION

Preferred Payment Method:
Full Payment - Cash
Full Payment - Bank Transfer
Installment Plan (inquire for terms)

DECLARATION AND SIGNATURE

I hereby declare that the information provided above is true and correct to the best of my knowledge. I understand that any false information may result in the denial of this application. I agree to abide by all cemetery rules, regulations, and policies.

Applicant's Signature: _______________________________

Date: _______________________________

FOR OFFICE USE ONLY

Application No: _________________

Date Received: _________________

Received By: ___________________

Status: ________________________

MUNICIPALITY OF BUUG

CEMETERY RESERVATION APPLICATION FORM

Instructions: