D4441319440/2012

Zone 02 Division 022

Name MD. KAWSER AHMED

Name of Father / Husband RAMASAMY
Name of Mother .

Permanent Residential Address PERUM PALLI VILLAGE,PUNGAMPATTU NADU PUDURNADU

VIA,JAVATHU HILLS TIRUPATTUR T.K.VELLORE DIST 0

Address of the deceased at the NO:18 B BLOCK POLICE QUARTERS OLD JAIL ROAD MINT
time of death CHENNAI 600001

Sex Male
Age 29 YEARS

Date of Death 17-JAN-2022

Place of Death NO:18 B BLOCK POLICE QUARTERS OLD JAIL ROAD MINT
CHENNAI 600001

Registration Number COC/2011/02/022/000245

Date of Registration 18-JAN-2022
Date of Issue 19-JAN-2022
Remarks (If Any) -

22-MAR-2012

Note : This certificate is computer generated and does not require any Seal/Signature in original.
The authenticity of this certificate can be verified at www.chennaicorporation.gov.in. The Registration
Number is unique to each death.