Form No.2 PRINT OFF AND SUBMIT IN DUPLICATE APPLICATION FOR PERMISSION TO ALTER OR ADD TO AN INSCRIPTION ON A MONUMENT OR GRAVESTONE IN A CHURCHYARD To The Incumbent of:
I / We apply for permission to alter or add to the inscription on a monument or gravestone in accordance with the details below. CHURCHYARD: GRAVE OF: REFERENCE No.(If known): PARTICULARS OF ALTERATION OR ADDITION TO INSCRIPTION: (Note: The design to be submitted separately.) STYLE OF LETTERING: Name of Applicant(s): Address: Telephone No.
Signature:
Date:
The foregoing application is approved and consent is given to the alteration or addition to the inscription* subject to the following alterations:Signature of Incumbent: Date:
DATA PROTECTION ACT 1998 The information contained in this form will be held on parish registers for the purpose of maintaining proper records of churchyard maintenance. 1st April, 1984, Redesigned 2008, Format change 2010
The Representative Body of The Church in Wales, 39 Cathedral Road, Cardiff. CF11 9XF