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Sidd Death

This document is a death certificate issued under the Registration of Births and Deaths (RBD) Act of 1969 and RBD Rules of 1999 in Karnataka, India. It certifies the following information was taken from the original register of death: [1] Name, [2] Age, [3] Date of death, [4] Place of death, [5] Name of mother, [6] Name of father, [7] Name of husband/wife, [8] Permanent address of deceased, [9] Address at time of death, [10] Registration number, [11] Date of registration, [12] Any remarks, [13] Date of issue, [14] Address

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1K views1 page

Sidd Death

This document is a death certificate issued under the Registration of Births and Deaths (RBD) Act of 1969 and RBD Rules of 1999 in Karnataka, India. It certifies the following information was taken from the original register of death: [1] Name, [2] Age, [3] Date of death, [4] Place of death, [5] Name of mother, [6] Name of father, [7] Name of husband/wife, [8] Permanent address of deceased, [9] Address at time of death, [10] Registration number, [11] Date of registration, [12] Any remarks, [13] Date of issue, [14] Address

Uploaded by

ASHOK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

sabes-6

Form-6
No,

Government of Indla

GOVERNMENT OF KARNATAKA

Chief Registrar of Births and Deaths

Joioaorde,
(8.0.8at. ed0oao, 1969d 12/17toto ydco aoerke .a.o.&ot
1999 aibso 8/13d soedr tadeod)
DEATH CERTIFICATE
of the KRBD Rules, 1999)
(Issued under Section 12/17 of the RBD Act, 1969 and Rule 8/13

doop

following information has, been taken from the original


This is to certify that the9 ne.... (village/town) of
of death which is the register
rcorg
-.91E2a.....aluk of.. of Karnataka State.
...district

(2) Oord
(1) sido Sex
Name
(4) Place
odce of&
Death.f05,
(3) sodcs Do
Date of Death .aLeelLa8..
(6) soo SIo
,
Name of Motherob Name ofthe Father.
(5) cuado id

() dos |dodso oo
Name of the Husband/Wife....
(9) , d arDabo Jrer
Permanent address of the deceased
Address of the deceased at the
time of deah:
...3ZAfr..S).
...Eylia.C. (11) toeots' eou:
(10) aeodo
Registration Date ofRegistration 5/o6.
(13) eNBs ea Bo:
(12) toe (odejoca a )
Remarks(if any) . Date of issue
eo
(15) co a o o
Address uing uthority
Signature of the issuing authority
BeBco/ Seal

death"
"Ensure registration of every birth and
Register. See proviso to Section 17(1).
regarding the cause of death as entered in the
Nodisclosure shall be made of particulars

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