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    Bipendra New

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    thetruthofindiatti

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    © All Rights Reserved
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    Bipendra New

    Uploaded by

    thetruthofindiatti
    8 views1 page

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    Bipendra New

    Uploaded by

    thetruthofindiatti

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    © All Rights Reserved
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    of 1

    सं.

    1
    बहार सरकार
    No. 1
    प-6
    GOVERNMENT OF BIHAR FORM-6
    योजना और वकास वभाग
    DEPARTMENT OF PLANNING AND DEVELOPMENT
    ाथमक वाय क पंडौल
    PRIMARY HEALTH CENTER PANDAUL

    मृयु माण-प
    DEATH CERTIFICATE

    (जम मृयु रिजकरण अधनयम , 1969 क धारा 12 / 17 तथा बहार जम मृयु रिजकरण नयम, 1999 के नयम 8/13 के अंतगत जार कया गया )
    (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE BIHAR REGISTRATION OF BIRTHS &
    DEATHS RULES 1999.)

    यह मािणत कया जाता है ननलिखत सूचना मृयु के मूल अभलेख से ल गई है जो क ाथमक वाय क पंडौल तहसील पंडौल िजला मधुबनी राय/संघ देश
    बहार,भारत के रिजटर म उिलिखत है ।
    THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER FOR
    PRIMARY HEALTH CENTER PANDAUL OF TAHSIL/BLOCK PANDAUL OF DISTRICT MADHUBANI OF STATE/UNION TERRITORY BIHAR, INDIA.

    मृतक का नाम / NAME OF DECEASED : BIPENDRA KUMAR. लंग / SEX: पुरष / MALE

    आधार नंबर / AADHAAR NO.:


    XXXXXXXX3102

    मृयु क तथ / DATE OF DEATH: मृयु का थान / PLACE OF DEATH:


    05-09-2023 PANDAUL, PANDAUL, MADHUBANI, BIHAR.
    FIVE-SEPTEMBER-TWO THOUSAND TWENTY THREE
    पत / पी का नाम / NAME OF HUSBAND / WIFE:

    मृतक क उ / AGE OF DECEASED:


    24 YEARS आधार नंबर / HUSBAND/WIFE AADHAAR NO. :

    माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER :


    RAJARAM CHOUDHARY

    आधार नंबर / MOTHER'S AADHAAR NO. : आधार नंबर / FATHER'S AADHAAR NO. :

    मृयु के समय मृतक का पता / ADDRESS OF THE DECEASED AT THE TIME OF DEATH मृतक का थायी पता / PERMANENT ADDRESS OF DECEASED :
    :
    AUNSI GATE, AUNSI BABHANGAWAN,
    AUNSI GATE , AUNSI BABHANGAWAN , BISFI, BISFI, MADHUBANI,
    BISFI, BISFI, MADHUBANI, BIHAR- 847121
    BIHAR- 847121

    पंजीकरण संया / REGISTRATION NO: पंजीकरण तारख / DATE OF REGISTRATION:


    D-2021: 110-10863-000097 01-10-2023

    टपणी / REMARKS (IF ANY):


    ---

    जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY
    01-10-2023
    उप-रिजार (जम एवं मृयु)
    SUB-REGISTRAR (BIRTH & DEATH)
    ाथमक वाय क पंडौल
    PRIMARY HEALTH CENTER PANDAUL

    UPDATED ON :
    01-10-2023 07:34:11

    "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 A VALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES.
    " येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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