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Death Matadeen

This document is a death certificate issued by the District Hospital Morena, Madhya Pradesh, certifying the death of an individual named Matadin on April 13, 2025. The certificate includes details such as the deceased's age, place of death, and personal information about the family. It is issued under the Madhya Pradesh Registration of Births and Deaths Act, 1969, and contains a registration number and date of issue.

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Manoj Sharma
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144 views1 page

Death Matadeen

This document is a death certificate issued by the District Hospital Morena, Madhya Pradesh, certifying the death of an individual named Matadin on April 13, 2025. The certificate includes details such as the deceased's age, place of death, and personal information about the family. It is issued under the Madhya Pradesh Registration of Births and Deaths Act, 1969, and contains a registration number and date of issue.

Uploaded by

Manoj Sharma
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

vÍRII 2

S.No.2
FORM 6

GOVERNMENT OF MADHYA PRADESH


DEPARIMENT OF PLANNING, ECONOMICS &STATISTICS

DISTRICT HOSPITAL MORENA

DEAH CERIIFICATE

(ISSUED UNDER SECTION 12/17 OF THE


PRADESH REGISTRATION OF BIRTHS ANDREGISTRATION OF BIRTHS AND DEATHS ACT, 1969 AND RULE
DEATHS RULES 1999) 8/13 OF THE MADHYA

THIS ISTOCERTIFY THAT THE FOLLOWING


INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF
WHICH IS THE REGISTER FOR DISTRICT HOSPITAL MORENA OF TAHSILBLOCK MORENA OF DISTRICT MORENA DEATH
OF
STATE/UNION TERRITORY MADHYA PRADESH, INDIA

HA# FI E/NAME OF DECEASED: MATADIN


fö/ SEX: MALE
3TETRHAADHAAR NUMBER:
Hcto d I / AGE OF DECEASED:
XXXX-XXX-6647 32 YEARS 9 MONTH(S) 30 DAY(S)

Hy t fat/ DATE OF DEATH: H 17/PLACE OF DEATH:


13-04-2025 DISTRICT HOSPITAL MORENA, MORENA, MORENA, MORENA, MADHYA
THIRTEENTH-APRIL-TWO THOUSAND TWENTY FIVE PRADESH

yfa/g r4/ NAME OF HUSBAND / WIFE: yf/ I3AETR HAI / AADHAAR NUMBER OF HUSBAND /WIFE:

HI T4 /NAME OF MOTHER: HI| | 3TER TAR / AADHAAR NUMBER OF MOTHER:

fAI IH/NAME OF FATHER:


f9G TENTR 0ER/ AADHAAR NUMBER OF FATHER:
DULLI

yAG HY HHY YdI/ADDRESS OF THE DECEASED AT THE TIME OF 4# I FIl ydI/ PERMANENT ADDRESS OF DECEASED:
DEATH:
RELWAY KVATRBANMORE, BAMAUR KHURD, MORENA, MORENA,
RELWAY KVATR BANMORE, BAMAUR KHURD, MORENA, MORENA,
MADHYA PRADESH, 476444
MADHYA PRADESH, 476444

jutoryfais DATE OF REGISTRATION:


quoru H I /REGISTRATION NUMBER:
06-05-2025
D202523903790000164

feyut (ft ) /REMARKS (IF ANY):


JARI
PM NO 124 PM RECORD KE ANUSAR

GI / DATE OF ISSUE:

13-05-2025

Updated On : 06-05-2025 19:34:41

BIRTBAOFATH)

DISTRICT HOSPITAL MORENA


authenticity of the
used to check the
This OR Code can be
certificate'
AND DEATH"
REGISTRATION OF EVERY BIRTH
joorUH d /ENSURE
"HUG GH Y¢ y

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