Scribd
Upload
952 views2 pages

Death Certificate

The document is a death certificate issued in India providing details of the deceased such as name, date of death, age, parents' names, and addresses. It certifies that the information was taken from original death records and is a valid legal document.

Uploaded by

asleagal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
952 views2 pages

Death Certificate

The document is a death certificate issued in India providing details of the deceased such as name, date of death, age, parents' names, and addresses. It certifies that the information was taken from original death records and is a valid legal document.

Uploaded by

asleagal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Death Certificate: Contains official death certificate information including certificate number, date of death, and personal details.

DEATI4 CERT£FTCATfi

‹ISSUED UhDBR SECTION I2/17 OP THE REGISTRATION OF BIRTNS & DEATI-Is Acz, ig6s D RULE 8/13 OP THB UTTAR PRAOBSB REGISTRATION
OP BIRTHS A DEATIf5 RLfLES 2002.)

THIS JS TO CERTIFY THAT THE FOLLO\Uh G Ih FOR*lATlOh HAS BEEN TAKE N PROM THE ORIGINAL RECORD OP DEATH WHICH IS THE REGISTER
FOR G.RARIA PANCHAYAT SAXAR DAHA OF TAHSILFBLOCX HARRANA OP DISTRICT BAST] OF STATEfUNION TERRITORY UTTAR PRADESH, INDIA.

K / DATE OF DE.RTH. OP DEATH:


14- 03 2021 , LIARRIYA
FOURTEENTH i*lARCH-T\VO THOUSAU D T\\'EhM' 0 .
iE
Z wf 7 NAMB OF HUSBAND / WICB:

W / AGE OF
?x0 DECE.USED: z HUSBANDfYflPE nADHAAR NO. .
TEnRS
/ NAME OP PATHBR :
LAXNISHANKARSUIJKLA
WHT I SIOTH ER'S AADHAAR hO. :
/ FATHER'S AAD HAAR NO. :
% M / ADDRESS OF THE DEC EASE D AT THE TIFi E OP DEATH : Wi / PERMANENT ADDR£ 88 OP DECEASED :

NATIHANIYA,

’ I I DATE OF RflGlSTRATlON :

9Tt / ISSUING AUTHORITY

llEti IS (BIHI“H £i DL.RTH}

\'AT SAXAX DA£1A

UPDATED ON :

‘THIS IS A COMPUTER GENERATED CRRTIFICATP,. "


THE GOVT. OP INDIA VIDE CIRCULAR NO. 111 2f2 0i 4-VS(CRS) DATE D 27-CULT-2015 HAS
APPR0VEDTHI9 CERTIPIcATE As A vzuD LE£1AL DOUCMfNT FOR ALL
OPPCMLPURP0S¥S
' T 'R

. Scanned with OKEN Scanner


.... . .h Cam!

You might also like