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me bail or§ ‘GOVERNMENT OF HIMACHAL PRADESH mes eareeg dd she ofeere seam front DEPARTMENT OF HEALTH SERVICES AND FANILY WELFARE fone sara ara (ORAMA PANCHAYAT BARA, ry wa peat CERTIFICATE |] cary ciation aftfrr 190 @ er 7 se Res we om rg ofvedew ro, 2003 Fr avi & sie ff my Aina ona EOTON I2I7 OF THE REGISTRATION OF BIRTHS & DEATHS ACT 1969 AND RULE 8/3 OF THE HIMACHAL eRADESH REGISTRATION oF BIRTHS & DEATHS RULES 2003} | socio & at oe Hane ag Sefer gee aeg a ahr At & Re ore ren net em frst een sty fe | Bian toree a gear er ES Rad EAs FON MIN EORATION ts 95N ARE FON THE ORCIAL RECORD OF oeATH WHC 1TH RLONTER con | Pasciaar nana or thisiustock cuachvon oF Dstt MANDI Or STATEUNION EeaTe ame ee | are or ae yaneor veceaseo: por Sn (sex gre ae | eq fae yosre or beara 2359 1 Firm / PLACE OF DEATH. Savane ANA, CHACHYOT. MANDI, HIMACHAL PRADESH, 175029 FIFTH-MARCH-TWO THOUSAND NINETEEN {it / ch moe / NAME OF HUSBAND / WIFE: are fi Br /AGE OF DECEASED; SB YEARS ‘WUT HTT / HUSBAND/WIFE AADHAAR NO. IAT 8 ATH / NAME OF MOTHER: fag Hy aM OF FATHER ‘ire set /- MOTHER'S AADHAAR NO, StI Fe / FATHER'S AADHAAR NO, Fagg FFF Se yavoness OFTHE DECEASED ATTHE TINE OF spre EATth oT / PERMANENT ADDRESS OF DECEASED a . BARA CHACHYOT, MANDI, BARA CHACHYOT, MAND}, HIMACHAL PRADESHE 175029 HIMACHAL PRADESH 175029, | ssitwco wy necisTaATION No. ‘ier arts / DATE OF REGISTRATION: |] p2oto. 2.01688 oo000s oros2019 |) Be snemanis oF awn, | 3 Sat es & Fy pa oF isue oxfam mot / ISSUING AUTHORITY ora ign ae we aR necishean ner ec beeeny ira are ee Costa PANCHAYAT DARA urpareo ow, oreeaota isin Bes Is SA COMPUTER GENERATED CERTINCATE WHICH CONTAINS FACSIMILE SICNATURE OF THE ISSUING A ™ THE GOVT OF INDIA MDE CULAR NG, 220 evstnt BaTED SUIS ANE sg NS AUTHORITY rphoveo This CERTcnTE ABAALID LEGAL CovniT FoR us cretaA ot Se, + wees oe ey TT AEN we /- ENNT RE RENT SV MIRTHTAND pe THE

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