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DEATI4 CERT£FTCATfi

‹ISSUED UhDBR SECTION I2/17 OP THE REGISTRATION OF BIRTNS & DEATI-Is Acz, ig6s D RULE 8/13 OP THB UTTAR PRAOBSB REGISTRATION
OP BIRTHS A DEATIf5 RLfLES 2002.)

THIS JS TO CERTIFY THAT THE FOLLO\Uh G Ih FOR*lATlOh HAS BEEN TAKE N PROM THE ORIGINAL RECORD OP DEATH WHICH IS THE REGISTER
FOR G.RARIA PANCHAYAT SAXAR DAHA OF TAHSILFBLOCX HARRANA OP DISTRICT BAST] OF STATEfUNION TERRITORY UTTAR PRADESH, INDIA.

K / DATE OF DE.RTH. OP DEATH:


14- 03 2021 , LIARRIYA
FOURTEENTH i*lARCH-T\VO THOUSAU D T\\'EhM' 0 .
iE
Z wf 7 NAMB OF HUSBAND / WICB:

W / AGE OF
?x0 DECE.USED: z HUSBANDfYflPE nADHAAR NO. .
TEnRS
/ NAME OP PATHBR :
LAXNISHANKARSUIJKLA
WHT I SIOTH ER'S AADHAAR hO. :
/ FATHER'S AAD HAAR NO. :
% M / ADDRESS OF THE DEC EASE D AT THE TIFi E OP DEATH : Wi / PERMANENT ADDR£ 88 OP DECEASED :

NATIHANIYA,

’ I I DATE OF RflGlSTRATlON :

9Tt / ISSUING AUTHORITY

llEti IS (BIHI“H £i DL.RTH}

\'AT SAXAX DA£1A

UPDATED ON :

‘THIS IS A COMPUTER GENERATED CRRTIFICATP,. "


THE GOVT. OP INDIA VIDE CIRCULAR NO. 111 2f2 0i 4-VS(CRS) DATE D 27-CULT-2015 HAS
APPR0VEDTHI9 CERTIPIcATE As A vzuD LE£1AL DOUCMfNT FOR ALL
OPPCMLPURP0S¥S
' T 'R

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