Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

RCJ 485296

CERTIFIED COPY OF AN ENTRY

Pursuant to the Births and Deaths Registration Act 1953

DEATH Entry No. 829


Registration district Manchester Administrative area

Sub-district Manchester London Borough of Manchester


1. Date and place of death
15 June 2023
University College Hospital Camden
2. Name and surname 3. Sex
Mrs. Shireen Akther Female
4. Maiden surname

5. Date and place of birth


12 November 1967
Bangladesh
6. Occupation and usual address
(House wife)
128 Curling tye Basildon, SS14 2PW
7. (a) Name and surname of informant b) Qualification
Miss Sadia Sharif Baishakhi Daughter
(c) Usual adress
128 Curling tye Basildon, SS14 2PW
8. I certify that the particulars given by me above are true to the best of my knowledge and belief
Signature
of information

Miss Sadia Sharif Baishakhi Given By Telephone

9. Cause of death
I (a) Cardiac Attack, 15 June 2023

II Diabetes Mellitus, Hypertension

Certified by N Miller MB

10. Date of registration 11. Signature of registrar


Twentyth-June 2023 S Wright
Deputy Registrar

Certified to be a true copy of an entry in a register in my cusiody.


…………………………………………. *Superintendent Registrar Date:20-06-2023

*Strike out whichever does not apply

SYSTEM N6A921BON60HERE ARE OFFENCES RELATING TO FALSIFYING OR LTERING A CERTIFICATE AND


USINGOR POSSESSING A FLASE CERTIFICATE CROWN COPYRIGHT

WARNING: A CERTIFICATE IS NOT EVIDENCE OF INDENTITY

You might also like