an stu we
(GOVERNMENT OF UTTAR PRADESiE
Teer oe eres fare
DEPARTMENT OF MEDICAL AND HEALTH
"ReGen ane
vesfitcedincare
rary 2S Warerere SieRram nga Me er ig yr mar an ute ay Heater fem, 2002 & Pee
(ISSUED ONDER section 12/17 OF THE REGISTRAT
REGISTRATION OF BIRTHS & DEATHS RULES 2055,
x satin eee FPP 8 8 A aap ren fees ee ne Hos a,
Fig eres ee Salar
iedrostni ate FQN ins sew rar raow Te once. necowo OF DEATH wa oer,
Poneiscaer ree mae SF Oa Meteo Snes i RRRPOND OF EAT
ON OF SIRTHS-& DEATHS ACT. 1960 AND RULE 8/13 OF “Ah 1->74R PRA
{ET 7 wt / NAME OF DECEASED 493 =m Speer
FRR RM spare oF pears.
rhs
TWENTY-SEVENTH NOVEMBER Two THOUSAND TWENTY
Pr sme ger Mae i
FELT ears space oF pears
be ROS t
i Ry sims NANEOR MisqaNo WE
gow 8 72 1408 OF DECEASED
a6 VEARS
PE TET / MUSBANDRAFE aADi‘ae xo.
FFs a + sawe oF Noreen, ‘
Senn
‘eer oe 7 NAME OF FATHER
TUT 'STer ¢ MOTHERS AADHAAR NO.
SET y EATHERS AADHAAS <>
BFF mara srw oe .20REss cr:
PAS THETIME OR DEAT ae ee Sms reRMaves
mess oF
from Se, sre,
Soham siti DATE OF nEGISTRAS ON |
6122000,
Was. ae
vier ani aw ae I
ee een
POATED ON.
12 2020 12.01.53