0222-0308110694

(Issued under section 17 of the Reg istration of Death Act, 1969 and 8/13 of Delhi Reg istration of
Death Rule,1999)

This is to certify that the following information has been taken from the orig inal record of DEATH
which is the reg ister for Municipal Corporation Of Delhi of ROHINI ZONE of N.C.T. Delhi

न ा म / Name HARI SINGH

लं ग / Gender MALE

म ृ यु क ित थ / Date Of Death 03-06-2022

म ृ यु का था न / Place Of Death C-1/188 RAMESH ENCLAVE KIRARI SULEMAN NAGAR NORTH WEST
DELHI INDIA 110086

पं ज ी करण क ित थ / Date Of Reg istration 25-08-2022

पं ज ी करण सं य ा / Reg istration No MCDOLIR-0222-1806260873

म ा ता का न ा म / Name of Mother

िप ता /प ित का न ा म / Name of Father/Husband NATTHI SINGH

ज ी वन सा थी का न ा म / Name of Spouse PUSHPA

वतम ा न / म ृ यु के सम य प ता PAHARPUR BHARATPUR BHARATPUR RAJASTHAN INDIA 321403

Present / Address at the time of Death)

था ई प ता / Permanent Address C-1/155 GALI NO-15 RAMESH ENCLAVE KIRARI SULEMAN NAGAR NORTH
WEST DELHI INDIA 110086

छप ा ई क ित थ / Print Date 25-08-2022

Note: This certificate is system g enerated and does not require any seal/sig nature in orig inal . The authenticity of
this certificate can be verified at mcdonline.nic.in
ये क ज म एवं म ृ यु का पं ज ी करण सुि न ि त करे
ENSURE REGISTRATION OF EVERY BIRTH & DEATH