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Home
About Us
History
Events
PPA News
Mahila Mandal
Parajiya Pattni Youth
About the Youth
Youth Blog
Funeral Announcements
Announcements
Death Announcement Form
Funeral and Memorial Details Form
In Loving Memory
Census
Gallery
Death Announcement Form
Death Announcements Form
We are sorry to hear of the death in the community. Please fill out the form as accurately as possible, we will then ensure the announcement is made via the website and our mailing list.
Name
First
Last
Your Contact Telephone Number
*
Your Email
*
First Name of the Deceased
*
Father’s name or husband’s name (for married women)
*
Grandfather’s name or husband’s grandfather's name (for married women)
*
Family Name (Not Pattni or Soni) E.G. Ghaghada, Dhanak
*
Deceased Place of Residence
*
Age of deceased
*
Please enter a value between
0
and
150
.
Date of death
*
Time of Death
*
:
HH
MM
AM
PM
Place where he/she passed away
*
Picture of deceased (jpeg, jpg, gif or png only)
Accepted file types: jpeg, gif, png, jpg, pdf.
Please ensure the Max File size is 2MB or less. The photo will not upload if it is larger than 2MB.
Additional information
Please add any further information you would like us to include. You can also provide a list of family members to ensure the community as a whole can easily identify the deceased.