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POo-6
GOVERNMENT OF ANDHRA PRADESH FORM-6
DEATH CERTIFICATE
assUEDUNDERSECTION 12/17 0F THE RECISTRATIOoN oF BIRTHS& DEATHS ACT, 1963 AND RULE 8/13 OP THE ANDHRA PRADESH RECISTRATON OF BIRTHS
& DEATHS RULES 1999.)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE REGSTER FOR
GOVERNMENTGENERAL HOSPITAL GUNTUR OF TAHSILBLOCK GUNTUR OF DISTRICT GUNTUR OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.
sodtoobskbd iyáo Drir IADDRESS OF THE DECEASED ATTHE TIME OF DEATH: ds)R,Ss) Ksr IPERMANENT ADDRESS OF DECEASED
UPDATED ON :
2021-02-01 20:48:37
"THIS IS ACoMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILESIGNATURE 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.