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Death Certificate
Death Certificate
‹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.
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 :
UPDATED ON :