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    DeathCertificate 2519564

    Uploaded by

    Akshar Patel

    Copyright:

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

    DeathCertificate 2519564

    Uploaded by

    Akshar Patel
    15 views1 page

    Original Title

    DeathCertificate_2519564

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    15 views1 page

    DeathCertificate 2519564

    Uploaded by

    Akshar Patel

    Copyright:

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

    Form-6

    GOVERNMENT OF WEST BENGAL


    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    MUNICIPAL CORPORATION DURGAPUR

    DEATH CERTIFICATE

    (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL
    REGISTRATION OF BIRTHS & DEATHS RULES 2000.)

    THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS
    THE REGISTER FOR MUNICIPAL CORPORATION DURGAPUR OF BLOCK/MUNICIPALITY MUNICIPAL CORPORATION DURGAPUR OF
    DISTRICT PASCHIM BARDHAMAN OF STATE WEST BENGAL, INDIA.

    NAME OF DECEASED : SUNDAR GOPAL SEX : MALE


    GHATAK

    DATE OF DEATH : 15/10/2022 PLACE OF DEATH : VIVEKANANDA HOSPITAL, MUNICIPAL


    CORPORATION DURGAPUR, PASCHIM
    BARDHAMAN, WEST BENGAL

    AGE OF DECEASED : 87 YEARS NAME OF SPOUSE :

    SPOUSE IDENTITY PROOF. : -

    NAME OF MOTHER : NAME OF FATHER : LATE NARENDRA NATH GHATAK

    MOTHER'S IDENTITY PROOF : - FATHER'S IDENTITY PROOF : -

    ADDRESS OF THE DECEASED AT STREET/LANE:- BANDRA, KATWA,LOCALITY:-KATWA, VILLAGE/TOWN:- BANDRA,KATWA - I,DIST:-


    THE TIME OF DEATH : PURBA BARDHAMAN,WEST BENGAL-713130

    PERMANENT ADDRESS OF STREET/LANE:-BANDRA, KATWA,LOCALITY:-KATWA, VILLAGE/TOWN:- BANDRA, KATWA - I,DIST:-


    DECEASED : PURBA BARDHAMAN,WEST BENGAL-713130

    CERTIFICATE NO : D/2022/241982 DATE OF REGISTRATION : 20/10/2022

    REMARKS (IF ANY) :

    DATE OF ISSUE : 21/10/2022 ISSUING AUTHORITY :

    UPDATED ON : 2022-10-20 12:24:40

    Signature Not Verified


    Digitally Signed.
    Name: DEBABRATA SAHANA
    Date: 21-Oct-2022 11:37:14

    REGISTRAR (BIRTH & DEATH)


    MUNICIPAL CORPORATION DURGAPUR

    "THIS IS A COMPUTER GENERATED CERTIFICATE."


    THE GOVT.OF INDIA VIDE CIRCULAR NO. 1 / 12 / 2014 - VS(CRS) DATED 27 - JULY - 2015
    HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES

    "ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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