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Karnataka Death Certificate Form

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667 views1 page

Karnataka Death Certificate Form

Fake

Uploaded by

n61662622
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

~o. o.~o.~.

No. 8.8.M.P.
3158226
I~:;m
Government of India
- 6
Form -6

6NC)F'LI5 ;rj~F"O
GOVERNMENT OF KARNATAKA
~d~n\i Ot!~d~
Chief Registrar of Births and Deaths
Qd~ ~;m~
(~.O:S:,.~~ ~ONoi)~. 19690 12/17~oi) ~edre awM e.~.~-~~- Noi)al)T'(\t 19990 Noi)~ 8/130 ~Q~t:S)
DEATH CERTIFICATE
(Issued Under Section 12/17 of the RBD Act, 1969 and Rule 8/13 of the KRBD Rules, 1999)

a, gv~oci JcJddoi>~ e~rwe o.~d tjori~d) e!'-;!oi> ~-~.c;)O.c! (~c:l>/~~~)d Od10~~d>d ~Q


m1>t1QJ)oci ~rtd.>~~~f\d<iliodl ~~clee8cd0t>f\d

This is to certify that the following information has been taken from the original record of death which is the register for BSMP
(village/town) of Bengaluru district of Karnataka State
1)ilt;dd; 2) eJorl noci>
Name RAKSHITHGOWDA H M Sex Male
09/04/2024
Date of Death

S) ~aj;a:i) af;rfd;

Name of Mother

15/04/2024
Remarl<s(if any)
14) ~dnc; d!flt:iJii ilf!;t:JtntJaiJ !db
Signature of Issuing Authority

Date of Issue 23/04/2024


..s,!~od.) cs~~ d.,~ ~o~d ~~odtfo.'.Dro-l
~&o:1)~ ~~c:md O~,!ro,~ ~dred trod~K~ t.>'A t.>&idoKM~li)do!~. Sddre 17(l)d o:jdot)e ~~t>.

Note: For Online Verification please Visit: www.t1Janma.kar.nlc.in

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