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    Bihar Death Certificate Form PDF Download 1

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    Chandan Kumar
    This document is a death certificate issued under the Registration of Births and Deaths Act of 1969 and Bihar Registration of Births and Deaths Rules of 1999. It certifies the details of death such as name, date of death, place of death, name of father/husband, address of deceased extracted from the original death record registered with the local registrar's office. The certificate contains registration number, date of registration, signature and seal of issuing authority along with their address.

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    Bihar Death Certificate Form PDF Download 1

    Uploaded by

    Chandan Kumar
    5K views2 pages
    This document is a death certificate issued under the Registration of Births and Deaths Act of 1969 and Bihar Registration of Births and Deaths Rules of 1999. It certifies the details of death such as name, date of death, place of death, name of father/husband, address of deceased extracted from the original death record registered with the local registrar's office. The certificate contains registration number, date of registration, signature and seal of issuing authority along with their address.

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    This document is a death certificate issued under the Registration of Births and Deaths Act of 1969 and Bihar Registration of Births and Deaths Rules of 1999. It certifies the details of death such as name, date of death, place of death, name of father/husband, address of deceased extracted from the original death record registered with the local registrar's office. The certificate contains registration number, date of registration, signature and seal of issuing authority along with their address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    5K views2 pages

    Bihar Death Certificate Form PDF Download 1

    Uploaded by

    Chandan Kumar
    This document is a death certificate issued under the Registration of Births and Deaths Act of 1969 and Bihar Registration of Births and Deaths Rules of 1999. It certifies the details of death such as name, date of death, place of death, name of father/husband, address of deceased extracted from the original death record registered with the local registrar's office. The certificate contains registration number, date of registration, signature and seal of issuing authority along with their address.

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    of 2

    iz:i la[;k&6

    Form-6
    laŒ
    No. lR;eso t;rs

    fcgkj ljdkj
    Government of Bihar
    ;kstuk ,oa fodkl foHkkx
    fcgkj ljdkj (DEPARTMENT OF PLANNING AND DEVELOPMENT)
    vFkZ ,oa lkaf[;dh funs'kky;
    DIRECTORATE OF ECONOMICS AND STATISTICS
    e`R;q izek.k&i=
    DEATH CERTIFICATE
    ¼tUe e`R;q jftLVªhdj.k vf/kfu;e] 1969 dh /kkjk&12@17 rFkk fcgkj tUe e`R;q jftLVªhdj.k
    fu;ekoyh] 1999 ds fu;e 8@13 ds vUrxZr tkjh fd;k x;kA½
    (Issued under Section-12/17 of the registration of Births and Deaths Act, 1969 and Rule 8/13 of the Bihar
    Registration of Births and Deaths Rules, 1999)
    ;g izekf.kr fd;k tkrk gS fd fuEufyf[kr lwpuk e`R;q ds ewy vfHkys[k ls yh xbZ gS] tks fd
    ¼LFkkuh; {ks=½-----------------------------------rglhy¼vapy@iz[kaM½-----------------------------------------------
    ftyk --------------------------------------------- jkT;% fcgkj ds jftLVj esa mfYyf[kr gSA
    This is to Certify that the following information has been taken from the original record of death which is the
    register for (local area/local body) ......................................................... of tahsil.............................................
    .(anchal/block)...................................................... of District ............................................ of State : Bihar

    uke@Name........................................................................................................... fyax@ Sex.........................................


    e`R;q dh frfFk@ Date of Death......................................... e`R;q dk LFkku@Place of Death ..............................
    ekrk dk uke@Name of Mother............................................................................
    firk@ifr dk uke@Name of Father/Husband...............................................
    e`rd dk e`R;q ds le; dk irk@ e`rd dk LFkk;h irk@
    Address of the deceased at the time of death Permanent address of the deceased
    ............................................................................ ......................................................................................
    ........................................................................... ......................................................................................
    ............................................................................ ......................................................................................
    iathdj.k la[;k@ Registration No....................................... iathdj.k fnukad@Date of Registration ...........................
    fVIi.kh@ Remarks(if any)......................................................
    tkjh djus dh frfFk@Date of issue....................................
    izkf/kdkjh ds gLrk{kj@ Signature of the Issuing authority

    izkf/kdkjh dk irk@ Address of the Issuing authority

    eksgj@Seal

    0379 Raju 28.12.10


    ^^ izR;sd tUe ,oa e`R;q dk iathdj.k lqfuf'pr djsa@Ensure registration of every birth and death**

    0379 Raju 28.12.10

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