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Signed Death Certificate

This document is a death certificate issued by the Government of West Bengal for Milan Kanti Dutta, who passed away on June 14, 2023, at AMRI Hospitals Limited. The certificate includes details such as the deceased's age (85 years), permanent address, and registration information. It is officially recognized as a valid legal document for all purposes.

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135 views1 page

Signed Death Certificate

This document is a death certificate issued by the Government of West Bengal for Milan Kanti Dutta, who passed away on June 14, 2023, at AMRI Hospitals Limited. The certificate includes details such as the deceased's age (85 years), permanent address, and registration information. It is officially recognized as a valid legal document for all purposes.

Uploaded by

sourab2492
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Form-6

GOVERNMENT OF WEST BENGAL


DEPARTMENT OF HEALTH AND FAMILY WELFARE

BIDHANNAGAR MUNICIPAL CORPORATION

DEATH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL
REGISTRATION OF BIRTHS & DEATHS RULES 2000.)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS
THE REGISTER FOR BIDHANNAGAR MUNICIPAL CORPORATION OF BLOCK/MUNICIPALITY BIDHANNAGAR MUNICIPAL
CORPORATION OF DISTRICT NORTH 24 PARGANAS OF STATE WEST BENGAL, INDIA.

NAME OF DECEASED : MILAN KANTI DUTTA SEX : MALE

DATE OF DEATH : 14/06/2023 PLACE OF DEATH : AMRI HOSPITALS LIMITED, BOROUGH 05,
NORTH 24 PARGANAS, WEST BENGAL

AGE OF DECEASED : 85 YEARS NAME OF SPOUSE :

SPOUSE IDENTITY PROOF. : -

NAME OF MOTHER : NAME OF FATHER : LATE J K DUTTA

MOTHER'S IDENTITY PROOF : - FATHER'S IDENTITY PROOF : -

ADDRESS OF THE DECEASED AT STREET/LANE:- DB-21/2,SECTOR-1,SALTLAKE,BIDHANNAGAR(N),LOCALITY:-BIDHANNAGAR CC


THE TIME OF DEATH : BLOCK, VILLAGE/TOWN:- BIDHANNAGAR,BIDHANNAGAR MUNICIPAL CORPORATION,DIST:-
NORTH 24 PARGANAS,WEST BENGAL-700064

PERMANENT ADDRESS OF STREET/LANE:-DB-21/2,SECTOR-1,SALTLAKE,BIDHANNAGAR(N),LOCALITY:-BIDHANNAGAR CC


DECEASED : BLOCK, VILLAGE/TOWN:- BIDHANNAGAR, BIDHANNAGAR MUNICIPAL CORPORATION,DIST:-
NORTH 24 PARGANAS,WEST BENGAL-700064

CERTIFICATE NO : D/2023/334539 DATE OF REGISTRATION : 21/06/2023

REMARKS (IF ANY) :

DATE OF ISSUE : 21/06/2023 ISSUING AUTHORITY :

UPDATED ON : 2023-06-20 [Link]

Signature Not Verified


Digitally Signed.
Name: BIVASH KUMAR MANDAL
Date: 22-Jun-2023 [Link]

REGISTRAR (BIRTH & DEATH)


BIDHANNAGAR MUNICIPAL
CORPORATION

"THIS IS A COMPUTER GENERATED CERTIFICATE."


THE [Link] INDIA VIDE CIRCULAR NO. 1 / 12 / 2014 - VS(CRS) DATED 27 - JULY - 2015
HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES

"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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