S.No.
1 FORM 6
GOVT. OF UTTAR PRADESH
DEPARTMENT OF MEDICAL AND HEALTH
NAGAR NIGAM KANPUR
DEATH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH REGISTRATION
OF BIRTHS & DEATHS RULES 2002.)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER
FOR NAGAR NIGAM KANPUR OF TAHSIL/BLOCK KANPUR OF DISTRICT KANPUR NAGAR OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.2
NAME : VINDHYA CHAL PRASAD SHARMA SEX : MALE
Aadhar No. : PLACE OF DEATH :
LPS INSTITUDE OF CARDIOLOGY KANPUR NAGAR
DATE OF DEATH :
23-03-2010 NAME OF HUSBAND/WIFE :
TWENTY THIRD -MARCH-TWO THOUSAND TEN
REETA
NAME OF MOTHER : NAME OF FATHER :
RESHMA DEVI KARI SHARMA
AGE OF DECEASED / मृतक की उम्र : 30
AADHAAR NUMBER OF MOTHER : AADHAAR NUMBER OF FATHER :
ADDRESS OF DECEASED AT THE TIME OF DEATH
PERMANENT ADDRESS OF DECEASED :
KOILASWA BUZURG KUSHI NAGAR UTTAR PRADESH -274401
KOILASWA BUZURG KUSHI NAGAR UTTAR PRADESH -274401
REGISTRATION NUMBER : DATE OF REGISTRATION :
D2024990347004412 01-10-2024
REMARKS (IF ANY):
DATE OF ISSUE :
09-10-2024
Updated On:
SIGNATURE OF ISSUING AUTHORITY :
REGISTRAR (BIRTH﹠DEATH)
‘ThisQRcodecanbeusedtochecktheauthenticityofthe
NAGAR NIGAM KANPUR
certificate’
"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "
