OFFICE OF VILL: CHANDINA, P....

File No.
STATE BOARD OF HEALTH 1640188584
CERTIFICATE OF DEATH

01. PLACE OF DEATH: 02. NAME OF DECEASED: 03. SEX:

VILL: CHANDINA, P.... Imon Hussain M
04. COLOR OR RACE: 05. MARITAL STATUS: 06. DATE OF BIRTH:
Caucasian Single 1986-07-14
07. OCCUPATION: 08. BIRTHPLACE: 09. DATE OF DEATH:
Unemployed VILL: CHANDINA, P.... 2021-12-19
10. PLACE OF BURIAL: 11. UNDERTAKER:
Cumilla Ziaul Islam