APPLICATION FOR SHIPMENT OF THE CREMATED …

1 lao people 'S democratic republic PEACE INDEPENDENCE DEMOCRACY UNITY PROSPERITY Xxxxxxxxxxxxxxxxxxxxxxxx EMBASSY OF THE lao people S democratic republic 2222 S. Street, NW Washington, DC 20008 Tel: (202) 332 6416 Fax: (202) 332 4923 APPLICATION FOR SHIPMENT OF THE CREMATED HUMAN REMAINS TO LAOS 1. Information of decedent - Name and family name .. - Date of - Place of - Present nationality .. - Date of - Place of 2.

2 Contact person in Lao PDR - Name and family - Address: , - Place of remain to be interned: District .. 3. Contact person in USA or Canada - Name and family - Present address ..Tel: (..).. - Attach documents: - Certificate of death - Copy passport of decedent - Copy passport of transporter - Fees 50 USD - Prepaid envelop for return 1 SHIPMENT of the cremate human