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SignedDeathCertificate 3836295 671

The document is a death certificate for Ramisha Bibi from West Bengal, India. It provides her personal details like name, age, spouse, date and place of death. It also lists her current and permanent addresses.

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Chandi GP
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83 views1 page

SignedDeathCertificate 3836295 671

The document is a death certificate for Ramisha Bibi from West Bengal, India. It provides her personal details like name, age, spouse, date and place of death. It also lists her current and permanent addresses.

Uploaded by

Chandi GP
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
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Form-6

GOVERNMENT OF WEST BENGAL


DEPARTMENT OF HEALTH AND FAMILY WELFARE

GRAM PANCHAYAT CHANDI

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 CHANDI OF BLOCK/MUNICIPALITY BISHNUPUR - II OF DISTRICT SOUTH 24 PARGANAS OF
STATE WEST BENGAL, INDIA.

NAME OF DECEASED : RAMISHA BIBI SEX : FEMALE

DATE OF DEATH : 26/04/2024 PLACE OF DEATH : ROSE LAND NURSING HOME,


BISHNUPUR - II, SOUTH 24 PARGANAS,
CHANDI, WEST BENGAL

AGE OF DECEASED : 84 YEARS NAME OF SPOUSE : ABUL KASEM MISTRY

SPOUSE IDENTITY PROOF. : AADHAAR-


XXXXXXXX1730

NAME OF MOTHER : NAME OF FATHER :

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

ADDRESS OF THE DECEASED AT LOCALITY:-P.O-MESTAKHALI, VILLAGE/TOWN:- MESTAKHALI,BISHNUPUR - I,DIST:- SOUTH 24


THE TIME OF DEATH : PARGANAS,WEST BENGAL-743503

PERMANENT ADDRESS OF LOCALITY:-P.O-MESTAKHALI, VILLAGE/TOWN:- MESTAKHALI, BISHNUPUR - I,DIST:- SOUTH 24


DECEASED : PARGANAS,WEST BENGAL-743503

CERTIFICATE NO : D/2024/0268645 DATE OF REGISTRATION : 09/05/2024


-

REMARKS (IF ANY) :

DATE OF ISSUE : 09/05/2024 ISSUING AUTHORITY :

UPDATED ON : 2024-05-03 12:38:45

Signature Not Verified


Digitally Signed.
Name: Suvra Ghosh
Date: 09-May-2024 12:26:20

SUB-REGISTRAR (BIRTH & DEATH)


GRAM PANCHAYAT CHANDI

"THIS IS A COMPUTER GENERATED CERTIFICATE."


THE GOVT.OF 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"

The QR Code and Certificate Number can be verified through the portal https://janma-mrityutathya.wb.gov.in

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