Consulate General
of Lebanon
New York
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
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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:_______________________________________________
Consulate General
of Lebanon - 9E. 76th St., New York, NY 10021 Tel: (212) 744-7905
-Fax (212) 794 1510
lebconsny@aol.com