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  • PETS E Pdffiller

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    faru143
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    This document is a client registration form for Pet's Eternal Cemetery. It contains information about Farhan Khan registering his deceased pet Jag, a 30kg, 1 meter long male Labrador who passed away on January 14th, 2024. It lists Khan's contact details and secondary contact Dalvin Gill. It also records basic details about Jag like his date of birth, age at time of death, and that his remains will be dropped off at the cemetery.

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    This document is a client registration form for Pet's Eternal Cemetery. It contains information about Farhan Khan registering his deceased pet Jag, a 30kg, 1 meter long male Labrador who passed away on January 14th, 2024. It lists Khan's contact details and secondary contact Dalvin Gill. It also records basic details about Jag like his date of birth, age at time of death, and that his remains will be dropped off at the cemetery.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    5 views1 page

    PETS E Pdffiller

    Uploaded by

    faru143
    This document is a client registration form for Pet's Eternal Cemetery. It contains information about Farhan Khan registering his deceased pet Jag, a 30kg, 1 meter long male Labrador who passed away on January 14th, 2024. It lists Khan's contact details and secondary contact Dalvin Gill. It also records basic details about Jag like his date of birth, age at time of death, and that his remains will be dropped off at the cemetery.

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    © All Rights Reserved
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    of 1

    PETS E.

    TERNAL CEMETERY
    361 Begrave Hallam Rd
    Narre Warren North Vic 3804
    ABN 61 434 057 083

    Principals – Terry & Karen Ryan


    Mob 0422 666 212
    E: Terry@pier35boatsales.com.au
    Admin E: Petseternalcemetery@gmail.com
    CLIENT REGISTRATION FORM
    FARHAN KHAN
    Client Name……………………………………
    96 Bay view road yarraville 3014
    Address:………………………………………………

    ..……………………………………………….

    khan.farhan@siemens.com
    Email:…………………………………………………..
    0455684473
    Mobile:…………………… Work Phone:……………………
    DALVIN GILL
    Secondary Contact Name ………………………….
    dalvingill.85@gmail.com
    Secondary Email ……………………………
    0406458067
    Mobile:…………………… Work Phone:……………………

    JAG
    Pets Name:……………………. Male/Female (circle)
    Labrador 30
    Breed:………………………. Approx. Weight:……………

    850 cm 1 meter
    Approx Height:………………. Length:………………….
    7/03/2011
    D.O.B/Age ………………. 14/01/2024
    Date Deceased:………………..

    we will drop him off


    Pick up Address:………………………………………………………..

    Pick up Phone No:……………………

    Office use Only: Allocated Plot………… D of Burial………………..

    Yearly Maintenance Invoicing (yes/no)

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