Application for registration as funeral director
Full name of applicant: [name]
Name or style under which the business is to be carried on: [specify]
Full postal address of every place where the business is to be carried on: [address]
Address of any place of business to be used as a mortuary: [address]
Application is hereby made for registration of the above-named applicant as a funeral director in respect of the above-named premises for a period from [date of application, or 1 June [year]] until 31 May [year].
Date of application:
Capacity in which application is signed [as owner of business, partner, manager of company, or as case may be]:
Note—The prescribed fee must accompany the application.
Schedule 2 form 1: amended, on 16 March 1973, by regulation 3(2) of the Health (Burial) Regulations 1946, Amendment No 2 (SR 1973/57).
Schedule 2 form 1: amended, on 1 July 1954, by regulation 4 of the Health (Burial) Regulations 1946, Amendment No 1 (SR 1954/86).
Certificate of fitness of a mortuary
I have inspected the premises of [specify], intended to be used by [specify] as a mortuary, and certify that in my opinion they comply in every respect with the requirements of the above-entitled regulations.
Signature of Inspector:
Certificate of registration as funeral director
[Full name(s) of person(s) registered] (is) (are) registered as (a) funeral director(s) of the [city, borough, town district, county, road district] of [place] until 31 May [year] in respect of a business carried on at [full postal address] (and in respect of a mortuary situated at [full postal address]).
Signature of local authority: