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    Scan 12 Mar 2024

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    aakthelegalegends
    The document is a death certificate for an individual named Kuldip Singh Datta. It provides details like date of death, age, parents names, address and registration details. The certificate is computer generated and contains digital signatures.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Scan 12 Mar 2024

    Uploaded by

    aakthelegalegends
    79 views1 page
    The document is a death certificate for an individual named Kuldip Singh Datta. It provides details like date of death, age, parents names, address and registration details. The certificate is computer generated and contains digital signatures.

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    © © All Rights Reserved

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    The document is a death certificate for an individual named Kuldip Singh Datta. It provides details like date of death, age, parents names, address and registration details. The certificate is computer generated and contains digital signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    79 views1 page

    Scan 12 Mar 2024

    Uploaded by

    aakthelegalegends
    The document is a death certificate for an individual named Kuldip Singh Datta. It provides details like date of death, age, parents names, address and registration details. The certificate is computer generated and contains digital signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    1.

    1
    GOVERNMENT OF HARYANA FORM-6

    DEPARTIMENT OF HEALTH SERVICES

    MUNICIPAL CORPORATION PANCHKULA

    DEATH CERTIFICATE

    HY zfiiar fAyA, 2002 fqA 8/13 s a rt faT TTT )


    (H Hes tfgay fafa4H, 1969 TT 12 / 17 TT fruT H
    HARYANA REGISTRATION OF BIRTHS &
    BIRTHS & DEATHS ACT 1969 AND RULE 8/13 OF THE
    (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF
    DEATHS RULES 2002.)

    INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER FOR
    THIS IS TO CERTIFY THAT THE FOLLOWING
    TAHSILBLOCK PANCHKULAOF DISTRICT PANCHKULAOF STATE/UNION TERRITORY HARYANA, INDIA.
    MUNICIPAL CORPORATION PANCHKULA OF

    HHS h H NAME OF DECEASED : KULDIP SINGH DATTA fa / SEX: qeq/ MALE


    AIT T/ AADHAAR NO.:
    XXXXXXXX7932
    HeY aT RIT /PLACE OF DEATH:
    Hcq fafRr / DATE OF DEATH: 662. SECTOR-19, PANCHKULA, PANCHKULA, PANCHKULA, HARYANA.
    08-12-2021
    EIGHTH-DECEMBER-TWO THOUSAND TWENTY ONE uf / yt aÊ H NAME OF HUSBAND / WIFE:
    SNEH LATA
    HdG 34 |AGE OF DECEASED: TETT 4T / HUSBAND/WIFE AADHAAR NO. :
    82YEARS 5419 2329 0924

    1 A / NAME OF M THER: fuT a HINAME OF FATHER:


    RAN SINGH DATTA
    KRISHNA DEVI

    3ATETT r MOTHER'S AADHAAR NO. : 3AT¬/TT GT / FATHER'S AADHAAR NO. :

    THE TIME OF DEATH: Hd# oT RITT aI /PERMANENT ADDRESs OF DECEASED


    HeY 4H4 HaF I YT /ADDRESS OF THE DECEASED AT
    #662, SECTOR-19, V.P.O-KHAD,
    PANCHKULA, PANCHKULA, PANCHKULA, HAROLI, HAROLI, UNA,
    HIMACHAL PRADESH
    HARYANA

    s T iGAI | REGISTRATION NO:


    i q fta|DATE OF REGISTRATION:
    30-12-2021
    D-2021:6-90007-001805

    euyt / REMARKS (UP ANY):


    DEATH CEKTIFICATE

    Iâ fr fafy/ DATE OF ISSUE: rt aà aI ufyarft / ISSUING AUTHORITY


    30-12-2021
    REGISTRAR (BIRTH & DEATH)
    MUNICIPAL CORPORATION PANCHKULA

    UPDATED ON:
    2021-12-30 12:32:05

    THIS IS A
    COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
    THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
    APPROVED THIS CERTIFICATE AS AVALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES.

    yt HrÝ H Vy r f a / ENSURE REGISTRATION OF EVERYBIRTH AND DENTIH"

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