D54507820453988825/2021

Zone 08 Division 103A

Name JAYA

Sex Female
Date of Death 08/10/2021
Age 65 YEARS
Place of Death KILPAUK MEDICAL COLLEGE HOSPITAL KILPAUK, CHENNAI -600010

Name of The Mother

Name of The Father
Name of The Husband / Wife THANAPAL
Address of the deceased at the time NO.411,, , KAMARAJ STREET, SM BLOCK, JAFARKHANPET,, ASHOK
of death NAGAR, CHENNAI , TAMIL NADU

Permanent Address Of The Deceased NO.411,, , KAMARAJ STREET, SM BLOCK, JAFARKHANPET,, ASHOK
NAGAR, CHENNAI, TAMIL NADU

D-2021:33-16433-003367
Registration Number
Date of Registration 11/10/2021

Remarks (If Any)

Date of Issue 26/10/2021

Signature Not Verified

Digitally Signed by S.ARUL, BIRTH AND DEATH
REGISTRAR
Date: 26-Oct-2021 (13:17:41)

Registrar of Births & Deaths,

26/10/2021 Division :103A Zone : 08

Greater Chennai Corporation

The authenticity of this certificate can be verified at www.chennaicorporation.gov.in.

The Registration Number is unique to each death. Ensure Registration of every Birth and Death