Ba we eee a eareey fiery DEPARTMENT OF MEDICAL AND HEALTH Fy. DEATH CERTIFICATE i on CSGUED Unsere eee ere 1960-6 et 12 7 aa at em ay fue em 2002 fram syn & Se ar Pee oe BIRTHS DEER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 83 OF THE UTTAR PRADESH REGISTRATION OF ss To cenrPv tint Te Fou IFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGISTER FOR NAGAR FALIKA PARISHAD BUNOR OF TAHSILLOEK BNR OF DISTRICT BJNOR OF STATRIUNIONTERAUTORY UTTAR PRADESH, INDIA ae sonfta fear an ¢ Reeiaies qea Bae after @ tk # ate ae eter sree Reve eae: ASP Fear ME {AH I ater / NAME OF DECEASED : NARESH KUMAR ‘aie / SEX: GH) MALE BTU 7A / AADHAAR NO, oonEaK0420 | 234 8 Date oF Dest PUA /PACEOF DEATH: 2s ds: Js DISTRICT HOSPITAL, BUNOR BUNOR, BINOR, UTTAR ‘TWENTY-SIXTH-MARCH-TWO THOUSAND TWENTY TWO PRADESH. Oe re of / dt IH /_ NAME OF HUSBAND / WIFE ae 1 5a / AGE OF DECEASED. vinoo BE 55 YEARS 1 ror 77 /_ HUSBANDINIFE AADHAAR NO. | ‘Frat wT ATH / NAME OF MOTHER: ‘fiten ar ars / NAME OF FATHER : ‘MuRT DEVI eR ‘gat FAT /- MOTHER'S AADHAAR NO. ‘tnt =5C / FATHERS AADHAAR NO. Arg @ wea are BY GAT / ADDRESS OF THE DECEASED AT Tie TINE OF DEATH » 3 1 FATE-NAT_ | PERMANENT ADDRESS OF DECEASED CGOHAVARIAIT, CHANDPUR. BUNOR. GGOHAVARUT, CHANDPUR, BUNOR UPTAR PRADESH UTTAR PRADESH idee Hae / REGISTRATION NO- | DATE OF REGISTRATION, 1p-2022; 9-90036-000479 feat / REMARKS (PANY? a let 12000 — RIRTRS 8 RAVES B \ gift acct & fat DATE OF ISSUE Re Pais AUTHORITY ira7-2022 a , 1 REGISTRAR (BIRTH & DEATR) at faaete NAGAR PALIKA PARISHAD BIJNOR i stil 1S A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY TTHE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27JULY-2015 HAS 1 [APPROVED THIS CERTIFICATE AS A VALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES. «ged Sen Ue apy ar tee Gna BE / ENSURE REGISTRATION OF EYERY BIRTH AND DENTAL CTA ee a enn se EES TTR HT. Tushar Kuma gem FAR DOB | 02/12/1008 iat Ly se bere" tire ota poe 80 8486 0352 Burl tar Prades, 248734 weer 49 Sar arene, A eat j rate 9 Bee rarauisigorin— G wowisalgorw ap He 9759 128063 aa ae ls