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The document is a death certificate for Imrana Begum, a 38-year-old female who died on October 27, 2023 in Menipur Pt-II, Sildubi, Cachar, Assam, India. The certificate provides her name, sex, date of death, age, husband's name, place of death, permanent and current addresses, registration number and date, and was issued by the Registrar of Birth and Death at the Sonai Primary Health Centre on December 5, 2023.

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654 views1 page

Health Com

The document is a death certificate for Imrana Begum, a 38-year-old female who died on October 27, 2023 in Menipur Pt-II, Sildubi, Cachar, Assam, India. The certificate provides her name, sex, date of death, age, husband's name, place of death, permanent and current addresses, registration number and date, and was issued by the Registrar of Birth and Death at the Sonai Primary Health Centre on December 5, 2023.

Uploaded by

sonaihealthcenter441
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
  • Death Certificate

FROM-6

GOVERNMENT OF ASSAM
DEPARTMENT OF HEALTH SERVICES
SONAI PRIMARY HEALTH CENTRE

DEATH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT. 1969AND RULE 8/13 OF THE ASSAM
REGISTRATION OF BIRTHS & DEATHS RULES 1999)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS
THE REGISTER FOR SONAI PRIMARY HEALTH CENTRE OF TAHSIL/BLOCK SONAI OF DISTRICT CACHAR OF STATE/UNION
TERRITORY ASSAM INDIA.

NAME OF DECEASED : IMRANA BEGUM SEX: FEMALE

DATE OF DEATH PLACE OF DEATH:


27-10-2023 MENIPUR PT-II, SILDUBI
TWENTYSEVEN OCT THOUSAND CACHAR, ASSAM ,
TWENTY THREE

AGE OF DECEASED: NAME OF HUSBAND/WIFE:


38 YEARS ABBACH UDDIN
HUSBAND /WIFE AADHAR NO:
NAME OF MOTHER: NAME OF FATHER:

MOTHER’S AADHAR NO: FATHER’S AADHAR NO:


ADDRESS OF THE SECEASED AT THE TIME OF DEATH PERMANENT ADDRESS OF DECEASED:

MENIPUR PT-II, SILDUBI MENIPUR PT-II, SILDUBI


CACHAR, ASSAM, CACHAR, ASSAM ,

REGISTRATION NO: DATE OF REGISRTAION:


D:2023 18-80093-003641 05-12-2023

REMARKS (IF ANY):


---
DATE OF ISSUE: ISSUING AUTHORITY
05-12-2023 REGISTRAR (BIRTH & DEATH)
SONAI PRIMARY HEALTH CENTRE
UPDATED ON:
05-12-2023 01:29:15

c
o
o

“THIS IS A COMPUTER GENERATED CERTIFICATE”


THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27 JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES.
“ENSURE REGISTRATION OF EVERY BIRTH AND DEATH”

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