0222-1810128380

(Issued under section 17 of the Reg istration of Death Act, 1969 and 8/13 of Delhi Reg istration of
Death Rule,1999)

This is to certify that the following information has been taken from the orig inal record of DEATH
which is the reg ister for Municipal Corporation Of Delhi of SHAHDARA SOUTH ZONE of N.C.T.
Delhi

न ा म / Name HARI OM BHATIA

लं ग / Gender MALE

म ृ यु क ित थ / Date Of Death 17/10/2022

म ृ यु का था न / Place Of Death MAX SUPER SPECIALITY HOSPITAL H.NO. 108A PATPARGANJ IP

EXTENSION NEW DELHI INDRAPRASTHA EXTENSION EAST DELHI INDIA
110092

पं ज ी करण क ित थ / Date Of Reg istration 18/10/2022

पं ज ी करण सं य ा / Reg istration No MCDOLIR-0222-1810233786

म ा ता का न ा म / Name of Mother

िप ता का न ा म / Name of Father MANOHAR LAL BHATIA

ज ी वन सा थी का न ा म / Name of Spouse DEEPA BHATIA

वतम ा न / म ृ यु के सम य प ता H.NO.- 6, GAYATRI PURI, VEERSAVARKAR NAGAR, BAREILLY UTTAR

Present / Address at the time of Death) PRADESH INDIA 243122

था ई प ता / Permanent Address H.NO.- 6, GAYATRI PURI, VEERSAVARKAR NAGAR, BAREILLY UTTAR

PRADESH INDIA 243122

छप ा ई क ित थ / Print Date 18/10/2022

Note: This certificate is system g enerated and does not require any seal/sig nature in orig inal . The authenticity of
this certificate can be verified at mcdonline.nic.in
ये क ज म एवं म ृ यु का पं ज ी करण सुि न ि त करे
ENSURE REGISTRATION OF EVERY BIRTH & DEATH