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THE GOVT OF PUNJAB PAK~STAN 1

DEATH CERTlFICATE
CRMS No: 0331712-14-0270 FORM No: R04616560
NATURE OF DEATH: NORMAL

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oL1 17-3-1994 17-3-1994 1-1-1943

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APPLICANT NAME: P.ZRA..P.ARVEEN .
.PPUCA,t.lT CNIC: 35-~04"i5:l90J96 RELAIIDN .tIlTH DECEASED: Husband

ADDRESS: STRE,ET#: 4, HAJI A8AD,

\ DECEASED NAME! FATHERNAMF:! DATE OF SEX I;ELlGION PLACEIDATE DATE OF REASON SICKNESS
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CNIC CNIC BIRTH OF DEATH BURIAL OF DEATH PERIOD

FAIZ All
AHMAD SHER MALE ISLAM NATURAL

• 1-1-1943 17·3-1994 17-3-1994 1 M


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B BLOOD RELATION DPERSON CAUSING DISFOSAL OF BODY ,.;;:.f c:t; 0 h;!:-.JI!... -/

NAME: AZRA PARVEEN !I.J{ ,)~ :(L'


CNIC :3540415290896 3540415290896 .;".; ~)( I~
GRAVEYARD NAME: NO COLUMN IN REGiStER f-~ ;(,,;:}-?) :(L:(~~?
ATE; "2Z-~\994 .•" . tm1!. 1!Dl" .~ '". . lil;.
2-3-1 94
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ISSUE DATE: 16-11-2014 15-11-2014 : .I?I~\:'


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