ars wage, Tahean ¥e
(ISSUED UNDER SECTION 12/1
OF BIRTHS & DEATHS RULES 2000.)
FOR GRAMA PANCHAYAT MAL
BENGAL, INDIA,
35 4759 18/ NAME OF DECEASED .JYOTI HASOA
SHITE /_AADHAAR NO.
XXXII
‘]5}4 4 / DATE OF DEATH
fasina-2032
NINTH-MARCH-TWo THOUSAND TWENTY TWO
(75-77 / AGE OF DECEASED:
62 YEARS.
SOT / NAME OF MOTHER:
‘SHIT / MOTHER'S AADHAAR NO.
EIGER 9 05TH / ADDRESS OF THE DECEASED AT THE TIME OF
ATH
LOHAGANJ,
KANTABARI, LOHAGANJA, KUSHMUNDI, DAKSHIN DINAJPUR,
WEST BENGAL. 733124
Frases 9: / REGISTRATION NO:
2022: 19-00652-000048
STH TE / REMARKS (IF ANY):
fine ws / DATE OF ISSUE:
16-02-2022
UPDATED ON
31-03-2022 11:58:50
THE GOVT. OF INDIA VIDE ct
+ a8 a HR] Fee POS
8 HS
OF THE REGISTRATION OF BIRTHS & DEATHS ACT. 1960 AND RULE A/L3 OF THE WEST BENGAL REGISTRATION
Tits Is To CERTIFY THAT THE FOLLOWING INFORMATION Has AEEW TaNEN FROM THE OMIEINAL RevaRD OF DEATH wn
GAON OF TAHSILIBLOCK KUSHMUNDI OF DISTRICT DAKSHIN DINAJPUR OF
sa
DEATH CERTIFICATE
STATE/UNION
Tom / SEX. y11/ MALE
[17H PLACE OF DEATH
LOHAGAN], KANTABAA, LOHAGANIA, KUSHMUNDI, DAKSHIN
DINAJPUR, WEST BENGAL, 733124
smi /, NAME OF HUSBAND / WIFE
a
ay S017 HUSBANDAVIFE AADHAAR NO.
ferim / NAME OF FATHER.
SAMAI HASDA
" s4T4 30017 FATHER'S AADHAAR NO.
ITS1-T5T FEET | PERMANENT ADDRESS OF DECEASED
LOHAGANI.
KANTABAR LOHAGANIA, KUSHMUNDI, DAKSHIN DINAJPUR,
WEST BENGAL 7331
sift / DATE OF REGISTRATION:
11.03-2022
‘601807 49991 / ISSUING AUTHORITY
SIEBER (79 HR)
SUB-REGISTIAR (BIRTH & DEATH)
Gs PaNeA R AHOS
sub-Regietraet of
a sigan Gran Panchayat
FO" pur
"THIS 1S A COMPUTER GENERATED CERTIFICATE,
ILAR NO. 1/12/2014-VS(CRS) DATED 27,JULY.2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES.
FET 7 ENSURE REGISTRATION OF EVERY RIRTILANI
DEATH"