õ£ó¤²ó¤¬ñê¢ ê£ù¢ø¤î¿è¢è£ù õ¤í¢íð¢ðð¢ ð®õñ¢

APPLICATION FORM FOR LEGALHEIRSHIP CERTIFICATE
1.

õ¤í¢íð¢ðî£óó¤ù¢ ªðòó¢
Name of the Applicant:

2.

îèð¢ðù£ó¢ / èíõó¢ ªðòó¢
Father/Husband’s Name:

3.

Ýí¢ / ªðí¢
Sex (M/F)

:

4.

Þ¼ð¢ð¤ì ºèõó¤
Residential Address :

5.

Þøï¢îõó¤ù¢ ªðòó¢
Name of the deceased :

6.

Þøð¢¹ê¢ ê£ù¢ø¤îö¢ âí¢.
(Íôê¢ ê£ù¢ø¤îö¢ Þ¬íè¢èð¢ðì «õí¢´ñ¢)
Death Certificate No. :
(Original Certificate to be enclosed)

7.

Þøï¢îõó¤ù¢ õ£ó¤²è÷¢ õ¤õóñ¢
Legal Heirs of the deceased *

õó¤¬ê
âí¢.
Sl.No.
(1)


ªðòó¢
Name

õò¶
Age

àø¾ º¬ø
Relationship

(2)

(3)

(4)

ñíñ£õó¢ /
ñíñ£è£îõó¢
Marital Status
(5)

ñÂî£óó¢ Þú¢ô£ñ¤ò ñîîê¢ «êó¢ï¢îõªóù¤ô¢ Þú¢ô£ñ¤ò êì¢ì
õ¤î¤è÷¤ù¢ð® õ£ó¤²î£óó¢è÷¢ õ¤õóñ¢
If the applicant belongs to Islam Religion, the details of the
legalheirs of the deceased as per Islamic Rules may be given.

8.

âù¢ù è£óíî¢î¤ø¢è£è ê£ù¢ø¤îö¢
«î¬õð¢ð´è¤ø¶?
(«î¬õò£ù Ýõíî¢î¤ù¢ ¡
ïèô¢™êñó¢ð¢ð¤è¢è «õí¢´ñ¢)
Purpose for which the certificate is required.
(Necessary documents to be enclosed)
Ü) Þøï¢îõó¢ å¼ ñíî£óó£? Þ¼ ñíî£óó£?
(ºîô¢ ñ¬ùõ¤ò¤ù¢ °öîè÷¢ /
Þóí¢ì£õ¶ ñ¬ùõ¤ò¤ù¢ °öîè÷¢
õ¤õóñ¢ Þ¬íè¢èð¢ðì «õí¢´ñ¢)
Deceased had one wife/ two wives
(Details of children of first wife /
Second wife to be enclosed)
Ý)

9.

õ¤õóé¢è÷¢
Details

°´ñ¢ð Ü좬ì âí¢.
Ration Card No.

10.

ñÂî£óó¢˜ Þøï¢îõ¼è¢° âï¢î õ¬èò¤ô¢™ àø¾?
Relationship of the petitioner with the deceased.

11.

õ¤í¢íð¢ð ï£÷¢
Date of application

:

õ¤í¢íð¢ðî£óó¤ù¢ ¬èªò£ð¢ðñ¢
Signature of the Applicant

Sign up to vote on this title
UsefulNot useful