REGISTRAR OF BURIALS
Mrs Hannah Shaw
248 Markfield Road, Groby
Leicester LE6 0FS
Tel: 01530 249945
Email: clerk@newtownlinford.org.uk

 
NEWTOWN LINFORD PARISH COUNCIL

NEW MEMORIAL APPLICATION NEWTOWN LINFORD CEMETERY
This application to be submitted in duplicate to the Registrar of Burials before any memorial is erected in the cemetery and may only be erected upon approval by the Registrar. Please also complete this form for applications for further inscriptions.
TO BE COMPLETED BY GRAVE OWNER IN BLOCK CAPITAL LETTERS PLEASE

Full Name of Deceased................................................................................................................................      Grave Space Number...................................................................................................................................
I hereby apply for permission to - erect the headstone, as herein described, on the above mentioned grave space / add an inscription to an existing headstone * 

*please delete as appropriate

Signature...................................................................................Date.......................................................Full Name................................................................................................................................................ Address....................................................................................................................................................................................................................................................................................................................... 
TO BE COMPLETED BY STONE MASON
(Drawing of proposed memorial, with sizes, to be attached) 

Description of proposed memorial…………………………………………………………………..

Materials to be used…………………………………………………………………………………… 

Proposed inscription.............................................................................................................................. 
….................................................................................................................................................................. ...................................................................................................................................................................... ….................................................................................................................................................................. Having been instructed to erect/add an inscription to the above memorial, I hereby undertake that all associated work will be carried out in accordance with the Rules of the Cemetery now in force. Signature............................................................................................Date.................................................Name............................................................................................................................................................. Address....................................................................................................................................................... Telephone No............................................................................................................................................. 
OFFICE USE ONLY. Permit Approved..................................................Date.......................................Fee...................................