Online Form - Renewal of Licence of a Morgue » City of Kalgoorlie-Boulder

Applicant Details

Applicant Name *

Contact Number *

Email Address *

Postal Address *

Suburb *

State *

Postcode *

Premises Details

Premises Name *

Premises Address

Street Address:

City:

State:

Post Code:

Country:

Declaration *

I declare, as the Applicant, all the information supplied on this form is true and correct
I understand that the registration is for the period ending 30 June 2024
I understand that the City will action this form within 15 working days