In this regulation, Act means the Anatomy Act.
The particulars referred to in section 3 of the Act are those set out in the notice of death in the schedule.
Schedule Anatomy Act Notice of Death District Registrar of Births, Deaths and Marriages: Under section 3 of the Anatomy Act, notice is given of the death of the person described as follows: Full name of deceased .............................................. (surname) ............................................... (given names) Sex ..................... Marital status .................................. Racial origin ............................................................ Date of birth ............................. Place of birth ............................................................................................. Date of death ............................................................... Age (in years) ......................................................... Place of death .............................................................................................................................................. Cause of death ............................................................................................................................................ Last known residence ................................................................................................................................... Religious denomination ................................................................................................................................. Name of next of kin ................................................................................... (state "unknown" if none is known) Address of next of kin ................................................................................................................................. Name and address of medical practitioner last in attendance, if any ................................................................... ................................................................................................................................................................... Name and address of coroner ........................................................................................................................ General condition of body .............................................................................................................................. Remarks ...................................................................................................................................................... Dated at ........................... this .......... day of ................................, 19...... ........................................................................................................ (signature of person having charge of body) ........................................................................................................ (rank or title of this informant) ........................................................................................................ (name of institution, undertaking firm, etc.) ........................................................................................................ (address of institution, undertaking firm, etc.) (To be completed in triplicate. Original and duplicate to District Registrar of Births, Deaths and Marriages. Triplicate retained by informant.)