Embassy 0f Ethiopia

New Human Remains Shipment Request

Page 1 of 2

Personal Information

First Name

Middle Name

Last Name

Sex

Date of Birth

Place/Country of Birth

Current Nationality

Date of Death

Email

Page 2 of 2

Destination Address in Ethiopia

Region

Zone/Sub City

District/Wereda

House No.

Ethiopian Phone No.

Agent Information

Name of Courier or Agent

Telephone

Required Attachments /Only Original Doc./

Death Certificate

Health Certificate

Funeral Home Certificate

Passport Copy