Scribd
Upload
82 views1 page

Death Certificate

This document is a death certificate issued by the Government of Gujarat for an individual named Lakhiben, who passed away on October 8, 2024, in Janadi, Junagadh. It includes details such as the date of registration, names of the parents, and addresses of the deceased. The certificate is generated under the Registration of Birth and Death Act, 1969.

Uploaded by

jandigrampanchayat
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
82 views1 page

Death Certificate

This document is a death certificate issued by the Government of Gujarat for an individual named Lakhiben, who passed away on October 8, 2024, in Janadi, Junagadh. It includes details such as the date of registration, names of the parents, and addresses of the deceased. The certificate is generated under the Registration of Birth and Death Act, 1969.

Uploaded by

jandigrampanchayat
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

Ys\½~FORM - 6

ȤkK^hSd^Dh^
GOVERNMENT OF GUJARAT
8^sƊ]7WpXˆ^ah^Dƣ]hRia[hF
DEPARTMENT OF HEALTH AND FAMILY WELFARE

\^R̆\hRX́
DEATH CERTIFICATE
Kƛ\7Wp\^RWҭVRj7iViW]\y~WjD_\yzy7Wp
. ȤkK^hSKƛ\\^RWҭVRjiW]\szxy€WhiW]\€ȺkKZ 
(Issued under Section 12/17 of the Registration of Birth and Death Act,1969 and
Rule 8 of the Gujarat Registration of Birth and Deaths Rules 2018)

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSj\^RWhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]WhȩkWhFQ‰Kƣ_hWh
\h‡`]hShɀkDhWhĤWPŽ˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of death which is in the register for
Village/City Janadi of Taluka Malia Hatina of District Junagadh of Gujarat State, India.

Wh\Name : ‫ړڬږڦځڤڛ‬Lakhiben ĤiSSex : ĘjFemale

\^RSh^ŽEDate of Death : 08/10/2024 \^RƨT`Place of Death :


Tuesday, October 8, 2024 ĤWPŽ

\hShȵk5Wh\Name of Mother : iXShȵkXiSȵk5Wh\Name of Father or Husband :

7\^ŽZpWAmariben ˆDbh[h:bh\`hKishabhai Shamala

\^Wh^WhȺmƗȻkd\]ȵk5d^WhȺk5Address of deceased at the time of \^Wh^ȵk5Dh]\jd^WhȺk5Permanent address of


Death : Deceased :
ἒ‫ڦڌړ‬Janadi ἒ‫ڦڌړ‬Janadi

WҭVRj˲\h5DRegistration No. : 5 WҭVRjWjSh^ŽEDate of Registration :08/11/2024

^Ž\hD½d iabpcWҭV Remarks (if any) ̆\hRX́W5Z^Certificate No : D202420448393

/0

̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of issuing


authority :
08/11/2024 ........................................

Registrar ( Birth & Death )


^‰Kƨ˼h^  Kƛ\\^R
Janadi , Junagadh

Disclaimer : This is a computer generated extract of death register. In case of any objection, please contact concerned Registrar (B&D).

VJL1sgKxmowZ09k/GXnIaVhQih4DbKJBKBYgy1vpJZg=

You might also like