Scribd
Upload
90 views1 page

Sumon

This document is a death certificate issued by the Government of West Bengal for Sukhen Singha, a 32-year-old female who passed away on July 21, 2025, in Malancha, Murshidabad. The certificate includes details such as the deceased's spouse, parents, and addresses, along with the issuing authority's information. It is a legally recognized document for official purposes as per government regulations.

Uploaded by

mdlisan2009
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
90 views1 page

Sumon

This document is a death certificate issued by the Government of West Bengal for Sukhen Singha, a 32-year-old female who passed away on July 21, 2025, in Malancha, Murshidabad. The certificate includes details such as the deceased's spouse, parents, and addresses, along with the issuing authority's information. It is a legally recognized document for official purposes as per government regulations.

Uploaded by

mdlisan2009
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

GRAM PANCHAYAT GAJINAGAR MALANCHA

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 GRAM PANCHAYAT GAJINAGAR MALANCHA OF BLOCK/MUNICIPALITY SAMSERGANJ OF DISTRICT
MURSHIDABAD OF STATE WEST BENGAL, INDIA.

NAME OF DECEASED : SUKHEN SINGHA SEX : FEMALE

DATE OF DEATH : 21/07/2025 PLACE OF DEATH : MALANCHA ,SAMSERGANJ,


MURSHIDABAD, GAJINAGAR MALANCHA,
MALANCHA, WEST BENGAL - 742202

AGE OF DECEASED : 32 YEARS NAME OF SPOUSE : DURGA SINGHA

SPOUSE IDENTITY PROOF. : EPIC- ZST1659499

NAME OF MOTHER : SUCHALANA NAME OF FATHER : HARIPADA SINGHA


SINGHA

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

ADDRESS OF THE DECEASED AT [Link] & NAME:- MALANCHA ,LOCALITY:-MALANCHA , VILLAGE/TOWN:-


THE TIME OF DEATH : MALANCHA,SAMSERGANJ,DIST:- MURSHIDABAD,WEST BENGAL-742202

PERMANENT ADDRESS OF [Link] & NAME:- NIMTITA,LOCALITY:-NIMTITA, VILLAGE/TOWN:- NIMTITA,


DECEASED : SAMSERGANJ,DIST:- MURSHIDABAD, WEST BENGAL -742224

CERTIFICATE NO : D/2025/0412206 DATE OF REGISTRATION : 07/08/2025


-

REMARKS (IF ANY) :

DATE OF ISSUE : 07/08/2025 ISSUING AUTHORITY :

UPDATED ON : 2025-08-07 [Link]

Signature Not Verified


Digitally Signed.
Name: ROMISA BIBI
Date: 07-Aug-2025 [Link]
SUB-REGISTRAR (BIRTH & DEATH)
GRAM PANCHAYAT GAJINAGAR
MALANCHA

"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"

585a590b-e064-6767-c453
The QR Code and Certificate Number can be verified through the portal [Link]

You might also like