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

GUNTUR MUNICIPAL CORPORATION

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... గుంటూరు నగర ాలక సంస . గుంటూరు లా .. గుంటూరు ా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 GUNTUR
MUNICIPAL CORPORATION OF TAHSIL/BLOCK GUNTUR OF DISTRICT GUNTUR OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.

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

ఆా సంఖ / AADHAAR NO.:

XXXXXXXX1866

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

23-05-2021 CAPITAL HOSPITAL, GUNTUR, GUNTUR, GUNTUR, ANDHRA PRADESH.
TWENTY-THIRD-MAY-TWO THOUSAND TWENTY ONE
భర / ర రు / NAME OF HUSBAND / WIFE:
R.BHARATAMMA
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 :

R.SAMRAJYAM R.SWAMULU

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 TIME OF DEATH మృతు ిరాసప రుామ / PERMANENT ADDRESS OF DECEASED :
:

JAMMULAPALEM, BAPATLA, GUNTUR,

JAMMULAPALEM, BAPATLA, GUNTUR, ANDHRA PRADESH
ANDHRA PRADESH
నదు సంఖ / REGISTRATION NO: నదు ేీ / DATE OF REGISTRATION:
D-2021: 28-90044-005541 09-06-2021

ేాంశములు / REMARKS (IF ANY):

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ాీ ేిన ేి / DATE OF ISSUE: ాి ేిన అిాి సంతకం / ISSUING AUTHORITY
09-12-2023
(జనన మరణ ిషా)
REGISTRAR (BIRTH & DEATH)
GUNTUR MUNICIPAL CORPORATION

UPDATED ON :
2021-06-09

"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 "