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2 Death Certificate

This document is a death certificate issued by the Government of Andhra Pradesh, certifying the death of IMMANDI VENKATA GANHSH on 29/01/2013 at ABHAYA HOSPITAL. It includes details such as the deceased's parents, addresses, registration number, and the date of issue. The certificate is digitally signed and can be verified online.

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phani21552
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509 views1 page

2 Death Certificate

This document is a death certificate issued by the Government of Andhra Pradesh, certifying the death of IMMANDI VENKATA GANHSH on 29/01/2013 at ABHAYA HOSPITAL. It includes details such as the deceased's parents, addresses, registration number, and the date of issue. The certificate is digitally signed and can be verified online.

Uploaded by

phani21552
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

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OOBB 66691053

FOkM No.6
€5o^6 t:
GOVKRNMENT Ot ANDHRA PRADESH
DEPARTMENT OF MUNICIPAL ADMINISTRATION

MEDICAL & HEALTH DEPARTMENT


£o<5ra <5;.^
DEATH CERTIFICATE %
Certificate Id: 50I06-D-534

-4. AxJca cSOCoj 1969,12/17 SftPrtioa ,?9o^S% ^tooCS^ieo 1999,8/13


§06 »°6 £Sai>a>d*a. *
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(issued under Section 12/17 of the Registration of Births and Deaths Act 1969 and Rules 8/13 of the
Andhra Pradesh Registration of Births and Deatn^. Rules 1999)
/ eso^3% wsc^o Sep »A)^o S>o^ dsgdb eS4^ ^oc5cr-^ XaoaoOoO*

r* e?s>eo Ospgj ^ood,|o6 x^^xpcto^o

This is to certify that the following informat.on has been taken from the original record of death
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4
/ which is in the register forflocal area / local body) KHAMMAM MUNICIPAL CORPORATION OF
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KHAMMAM DISTRICT OF STATE OF ANDHRA PRADESH


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La; / Narr.G IMMANDI VENKATA GANHSH •1


t>o.iaa>/ Sex MALE
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I
^i>3c5oCw ao / Date of Death 29/01/205.3
(DD/MM/yYYY) TWO NINE ZERO ONE TWO ZERO ONE THREE
AiodoOa / Place of Death ABHAYA HOSPITAL WYRA ROAD
05 L<i> / Name of Mother 1 GAN6AJALAM
Oo^/do bfij/ Name of the Father/Husbarid I VEERABADRAM

m ia^dob.'oicun,,A> / Address oT
the Deceased at the time of Death
WYRA ROAD ■j
§o&3»saiz) OOisrau* / Permanent
PEDDATHANDA KHAMMAM RURAL KHAMMAM
Address of the Deceased tVS
4»2>j»dj isoixj Regtstra’tioh Number 286
asvpci; 06/ Date of Registration
22/04/2013
{DD/MM/YYYY)
Remarks
‘i ipG ofe* oa / Date Of Issue
24/04/2013 1
(PD/MM/YYYY)
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NA - Not Available.
Certified By >1
Application No:
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1 !v.y
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CDMA03198132
Name : B.Srinivas
Registrar of Births & Deaths
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Date : 24/04/2013 KHAMMAM MUNICIPAL CORPORATION

u KHAMMAM DISTRICT i<

4 1 Nfilgl This is a Digitally Signed Certificate, does not require physical signature. And this certificate can be verified
VT*1
V. at http.7/www.meeSeva.gov.in/ by furnishing the application number mentioned in the Certificate. 'm

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