Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
6K views1 page

Death Certificate: Government of Jharkhand Department of Economics & Statistics Grama Panchayat Makdiha

This document is a death certificate from the Grama Panchayat Makdiha in Jharkhand, India. It certifies the death of Jay Prakash Saw, a 58-year old male who died on December 30, 2021 in Kubri, Makdiha. The certificate provides details about the deceased such as name, age, address, parents' names, date and place of death, and registration number. It was issued on January 29, 2022 by the Registrar of Births and Deaths of Grama Panchayat Makdiha.

Uploaded by

Himanshu Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
6K views1 page

Death Certificate: Government of Jharkhand Department of Economics & Statistics Grama Panchayat Makdiha

This document is a death certificate from the Grama Panchayat Makdiha in Jharkhand, India. It certifies the death of Jay Prakash Saw, a 58-year old male who died on December 30, 2021 in Kubri, Makdiha. The certificate provides details about the deceased such as name, age, address, parents' names, date and place of death, and registration number. It was issued on January 29, 2022 by the Registrar of Births and Deaths of Grama Panchayat Makdiha.

Uploaded by

Himanshu Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

सं.

1
No. 1
झारखंड सरकार प-6
GOVERNMENT OF JHARKHAND FORM-6
योजना एवं वकास वभाग <BR/> (अथ एवं सांियक नदेशालय)
DEPARTMENT OF ECONOMICS & STATISTICS
ाम पंचायत मकदह
GRAMA PANCHAYAT MAKDIHA

मृयु माण-प
DEATH CERTIFICATE

(जम मृयु रिजकरण अधनयम , 1969 क धारा 12 / 17 तथा झारखंड जम मृयु रिजकरण नयम, 2009 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 JHARKHAND REGISTRATION OF BIRTHS &
DEATHS RULES 2009.)

यह मािणत कया जाता है ननलिखत सूचना मृयु के मूल अभलेख से ल गई है जो क ाम पंचायत मकदह तहसील धनवार िजला गरडीह राय/संघ देश
झारखंड,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 GRAMA
PANCHAYAT MAKDIHA OF TAHSIL/BLOCK DHANWAR OF DISTRICT GIRIDIH OF STATE/UNION TERRITORY JHARKHAND, INDIA.

मृतक का नाम / NAME OF DECEASED : JAY PRAKASH SAW लंग / SEX: पुरष / MALE

आधार नंबर / AADHAAR NO.:


XXXXXXXX4074

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


30-12-2021 KUBRI, MAKDIHA, DHANWAR, GIRIDIH, JHARKHAND, 825418.
THIRTIETH-DECEMBER-TWO THOUSAND TWENTY ONE
पत / पी का नाम / NAME OF HUSBAND / WIFE:
LAKHANI DEVI
मृतक क उ / AGE OF DECEASED:
58 YEARS आधार नंबर / HUSBAND/WIFE AADHAAR NO. :
3943 4266 3540

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


SUGIYA DEVI BODHI SAW

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 :

KUBRI, MAKDIHA, DHANWAR, GIRIDIH, KUBRI, MAKDIHA, DHANWAR, GIRIDIH,


JHARKHAND- 825418 JHARKHAND- 825418

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


D-2022: 20-00579-000002 14-01-2022

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY
29-01-2022
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
GRAMA PANCHAYAT MAKDIHA
ाम पंचायत मकदह

UPDATED ON :
2022-01-14 15:08:47

"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 "

You might also like