RCJ 485296

CERTIFIED COPY OF AN ENTRY

Pursuant to the Births and Deaths Registration Act 1953

DEATH Entry No. 629

Registration district London City Admministrative area

Sub-district London City City of London

1. Date and place of death
24 July 2023
St.Bartholomew's Hospital, Smithfield
2. Name and surname 3. Sex
Mr. Fayyazali A Mohamedali Male
4. Maiden surname

5. Date and place of birth

09 March 1983
Pakistan
6. Occupation and usual address
(Orthopedic Doctors)
71 Neville road Newham London
7. (a) Name and surname of informant b) Qualification
Ms. Maliha Suleman Mohamed Daughter
(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
of information
MS. Maliha Suleman Mohamed Given By Telephone

9. Cause of death
I (a) Road Accident, 24 July 2023 (Fatal head injury)

Certified by N Miller MB

10. Date of registration 11. Signature of registrar

Twenty Eighth-July 2023 S Wright
Deputy Registrar

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

Date:28-07-2023
…………………………………………. *Superintendent Registrar

*Strike out whichever does not apply

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