RCJ 688296

CERTIFIED COPY OF AN ENTRY

Pursuant to the Births and Deaths Registration Act 1953

DEATH Entry No. 429

Admministrative area
Registration district London City
City of London
Sub-district London City

1. Date and place of death

Twenty Sixth October 2023
The Queen Square Private Hospital London
3. Sex
2. Name and surname Female
Mrs. Shawana Rana
4. Maiden surname
Rana

5. Date and place of birth

Twenty July 1992
India
6. Occupation and usual address
Senior Manager Process Assistant
71 Neville road Newham London

7. (a) Name and surname of informant b) Qualification

Mr. Dalawar Khan Rana Husband

(c) Usual address

71 Neville road Newham London

8. I certify that the particulars given by me above are true to the best of my knowledge and belief Signature
Mr. Dalawar Khan Rana Given By Telephone of information

9. Cause of death

I (a) Road Accident, 25 October 2023 (Fatal head injury)

II Diabetes Mellitus, Hypertension

Certified by N Miller MB

10. Date of registration 11. Signature of registrar

Thirty First October-2023 J Clinton
Deputy Registrar

Certified to be a true copy of an entry in a register in my cusiody.

Date:
................................................. Date:

*Superintendent Registrar
*Strike out whichever does not apply
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