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FORM NO. 6
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Government of Rajasthan
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Directorate of Economics & Statistics
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Registrar - JAGATPURA ZONE, JAIPUR
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DEATH CERTIFICATE
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(Issued under Section 12/17 ofthe istration of Girne and Daalhs Act 1800 and Rule 813 ofthe Rajasthan
Registra istration of Bithe and Deatee Rules, 2000)
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‘This 18 to ceriy that the fellowing information hes been tsken from the original record of death which fs the register for (Local area /
Leet ny) IMGATPURA ZONE fT! Bk Dn INPUR Si Urn Teo Ran, nds |
amiName wit are ABRAT / Kaurl Lal Mahawar
AiniSex GRUMALE \
{ARS wT smu sieWDeceased Andhar No: e+esese+6405 EG HT FEPlace of Death:
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{FTeT FT ATHName of Mother: =f & / Nabi Hal tcl
AAIPUR NATIONAL UNIVERSITY INSTITUTE AND
1AraT a au AawMother Aadhar Ne MEDICAL SCIENCE AND RESEARCH CENTER
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ea & FAPBDAte of Death: o2/12/2023 mek Yhaeh eceweekinr bees]
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ANPUR
‘far s7 aTA/Name of Father: Gurat eT / Sukelya Mahawar
‘Sar BT MUR AeUFather Aadhar No:
‘faire an ATRIName of Husband/Wite: wife &ft Shant! Devi . \
fresh ay Ter sle/HusbandiWife Aadher No: |
aw Gy S WaT wT eT: Faw wrt va: \
Address of Deceased at the time of death: 78, Permanent Address of the deceased: |
greta GR, Peas, etar / 78, Kort Lal, Ward 05, 78, uke Here, Rwers, ater / 78, Kori Lal, |
Kundera Doongar, Sikrel, Dausa Ward 05, Kundera Doongar, Sikral, Dauso |
faregrorer azaMRegistraion No aferediewer #1 artrarDate of Registration |
08110015000118203803 / 2023 07/12/2023
‘reve Remarks If Any:
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anit er atra/Date of Issue : 08/12/2023 4
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SEB state er issung brn and death conical recognized by Ecoromies and Sases Deparment, Gauament a ajstan wee
‘circular number F13/1(39/VSIDES/2012/22619 Dated 02 06.2016.
Software Courtosy National laformatice Centre (NIC), Rajasthan Cortifieate can bo tracked on hitpsliphchan.ra nicsrarartt A
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