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 UPPALAPADU

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... ఉపలాడు . నరసావట లా .. పలాడుా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 UPPALAPADU OF TAHSIL/BLOCK NARASARAOPET OF DISTRICT PALNADU OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.

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

ఆా సంఖ / AADHAAR NO.:

XXXXXXXX0159

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

30-12-2023 3-126, UPPALAPADU, UPPALAPADU, NARASARAOPET, PALNADU,
THIRTIETH-DECEMBER-TWO THOUSAND TWENTY THREE ANDHRA PRADESH, 522601.

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

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

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

YANNAM RATTAMMA YANNAM NARASIMHARAO

ఆా సంఖ / MOTHER'S AADHAAR NO. :

--- ఆా సంఖ / FATHER'S AADHAAR NO. :
---

మరణింనపడు మృతు రుామ / ADDRESS OF THE DECEASED AT THE TIME OF DEATH మృతు ిరాసప రుామ / PERMANENT ADDRESS OF DECEASED :
:
3-126,
3-126, UPPALAPADU, UPPALAPADU, NARASARAOPET, PALNADU,
UPPALAPADU, UPPALAPADU, NARASARAOPET, PALNADU, ANDHRA PRADESH- 522601
ANDHRA PRADESH- 522601
నదు సంఖ / REGISTRATION NO: నదు ేీ / DATE OF REGISTRATION:
D-2024: 28-06248-000003 05-01-2024

ేాంశములు / REMARKS (IF ANY):

---

ాీ ేిన ేి / DATE OF ISSUE: ాి ేిన అిాి సంతకం / ISSUING AUTHORITY
20-01-2024
(జనన మరణ ిషా)
REGISTRAR (BIRTH & DEATH)
GRAMA PANCHAYAT UPPALAPADU

UPDATED ON :
2024-01-05 11:20:53

"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 "