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    NIKHIL CHANDRA GHOSH

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    ritwikghosh346

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    NIKHIL CHANDRA GHOSH

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    ritwikghosh346
    6 views1 page

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    NIKHIL CHANDRA GHOSH

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    ritwikghosh346

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    of 1

    Form-6

    GOVERNMENT OF WEST BENGAL


    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    SUB DIVISIONAL HOSPITAL KATWA

    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 SUB DIVISIONAL HOSPITAL KATWA OF BLOCK/MUNICIPALITY MUNICIPALITY KATWA OF DISTRICT PURBA
    BARDHAMAN OF STATE WEST BENGAL, INDIA.

    NAME OF DECEASED : NIKHIL CHANDRA SEX : MALE


    GHOSH

    DATE OF DEATH : 17/03/2024 PLACE OF DEATH : SUB DIVISIONAL HOSPITAL KATWA,


    MUNICIPALITY KATWA, PURBA
    BARDHAMAN, WEST BENGAL

    AGE OF DECEASED : 62 YEARS NAME OF SPOUSE : MAMATA RANI GHOSH

    SPOUSE IDENTITY PROOF. : AADHAAR-


    XXXXXXXX1810

    NAME OF MOTHER : LATE ANNAKALI NAME OF FATHER : LATE SHIBSHANKAR GHOSH


    GHOSH

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

    ADDRESS OF THE DECEASED AT LOCALITY:-UJUNIA, VILLAGE/TOWN:- UJUNIA SISUA,BHARATPUR - II,DIST:-


    THE TIME OF DEATH : MURSHIDABAD,WEST BENGAL-742401

    PERMANENT ADDRESS OF LOCALITY:-UJUNIA, VILLAGE/TOWN:- UJUNIA SISUA, BHARATPUR - II,DIST:-


    DECEASED : MURSHIDABAD,WEST BENGAL-742401

    CERTIFICATE NO : D/2024/0227173 DATE OF REGISTRATION : 15/04/2024


    -

    REMARKS (IF ANY) :

    DATE OF ISSUE : 15/04/2024 ISSUING AUTHORITY :

    UPDATED ON : 2024-04-15 16:12:40

    Signature Not Verified


    Digitally Signed.
    Name: MRINMAY DEBNATH
    Date: 15-Apr-2024 16:17:49

    SUB-REGISTRAR (BIRTH & DEATH)


    SUB DIVISIONAL HOSPITAL KATWA

    "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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