సంఖ 1

No. 1
ఆంధ పే పభుతము ారం-6
GOVERNMENT OF ANDHRA PRADESH FORM-6
ైద,ఆోగ మియు టుంబ సంేమ ాఖ
DEPARTMENT OF HEALTH, MEDICAL AND FAMILY WELFARE

GRAMA PANCHAYAT VENKATANARASIMHARAJUPET

మరణ ధృవ పతము

DEATH CERTIFICATE

(జనన మరణ నదు చటం 1969, 12/17 గము పారము, ఆంధ పే జనన మరణ నదు బంధనలు 1999, 8/13 ింద ాీేయడైని)

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE ANDHRA PRADESH REGISTRATION OF BIRTHS
& DEATHS RULES 1999.)

ఈ ింి సమాా మరణం నదు క అసలు ిారు ాషం క... ెంకటనరింహ ాట . నగిలా .. తూరు ాలూా / బా ుంి సుోబింి అ సరిౖ ేయడం
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER FOR GRAMA
PANCHAYAT VENKATANARASIMHARAJUPET OF TAHSIL/BLOCK NAGARI OF DISTRICT CHITTOOR OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.

మరణింన వి రు / NAME OF DECEASED : V KAMALANABAN ంగము / SEX: पुरुष / MALE

ఆా సంఖ / AADHAAR NO.:

XXXXXXXX4543

మరణింన ేి / DATE OF DEATH: మరణింన పేశం / PLACE OF DEATH:

09-03-2023 1-64, BAZAAR STREET, VNR PETA, VENKATANARASIMHA -RAJUVARIPET, NAGARI,
NINTH-MARCH-TWO THOUSAND TWENTY THREE CHITTOOR, ANDHRA PRADESH, 517590.

భర / ర రు / NAME OF HUSBAND / WIFE:

మరణింన వి క వయసు / AGE OF DECEASED:
85 YEARS
ఆా సంఖ / HUSBAND/WIFE AADHAAR NO. :

తలి రు / NAME OF MOTHER: తంి రు / NAME OF FATHER :

V KUPPAIAH CHETTY

ఆా సంఖ / MOTHER'S AADHAAR NO. :

--- ఆా సంఖ / FATHER'S AADHAAR NO. :
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మరణింనపడు మృతు రుామ / ADDRESS OF THE DECEASED AT THE మృతు ిరాసప రుామ / PERMANENT ADDRESS OF DECEASED :
TIME OF DEATH :
1-64, BAZAAR STREET,
1-64, BAZAAR STREET, VNR PETA, VENKATANARASIMHA -RAJUVARIPET, NAGARI, CHITTOOR,
VNR PETA, VENKATANARASIMHA -RAJUVARIPET, NAGARI, CHITTOOR, ANDHRA PRADESH- 517590
ANDHRA PRADESH- 517590

నదు సంఖ / REGISTRATION NO: నదు ేీ / DATE OF REGISTRATION:

D-2023: 28-12191-000008 14-03-2023

ేాంశములు / REMARKS (IF ANY):

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ాీ ేిన ేి / DATE OF ISSUE: ాి ేిన అిాి సంతకం / ISSUING AUTHORITY
15-03-2023
(జనన మరణ ిషా)
REGISTRAR (BIRTH & DEATH)
GRAMA PANCHAYAT VENKATANARASIMHARAJUPET

UPDATED ON :
2023-03-14 11:03:42

"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES.

" ప జననము, ప మరణము తపంా 21 ోలలో నదు ేయంి" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "