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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"

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