Manchester City Council

F/2021-22/8

  1. Referral date

    14/04/2021

  2. Date of death

    15/03/2021

  3. Date of birth

    24/10/1953

  4. Gender

    Male

  5. Funeral type

    Burial

Fields marked * cannot be left blank

Feedback submitted to us on this form is monitored but you won’t receive a reply. In an emergency, visit our emergency contact details page. Please don't include any personal or financial information, for example your National Insurance or credit card numbers.