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    Eek A Ole 2173 Death

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    Sonai Healtcentre
    This document is a death certificate for Sanju Mia Barbhuiya, who died on October 20, 2021 in Dhanipur, Assam, India at the age of 55. The certificate provides details of the deceased such as name, sex, age, date and place of death, names of parents, and addresses. It was issued on December 20, 2022 by the Registrar of Births and Deaths at the Sonai Primary Health Centre in Assam, where the death was originally registered.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Eek A Ole 2173 Death

    Uploaded by

    Sonai Healtcentre
    133 views1 page
    This document is a death certificate for Sanju Mia Barbhuiya, who died on October 20, 2021 in Dhanipur, Assam, India at the age of 55. The certificate provides details of the deceased such as name, sex, age, date and place of death, names of parents, and addresses. It was issued on December 20, 2022 by the Registrar of Births and Deaths at the Sonai Primary Health Centre in Assam, where the death was originally registered.

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    Original Title

    Eek a Ole 2173 Death

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    This document is a death certificate for Sanju Mia Barbhuiya, who died on October 20, 2021 in Dhanipur, Assam, India at the age of 55. The certificate provides details of the deceased such as name, sex, age, date and place of death, names of parents, and addresses. It was issued on December 20, 2022 by the Registrar of Births and Deaths at the Sonai Primary Health Centre in Assam, where the death was originally registered.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    133 views1 page

    Eek A Ole 2173 Death

    Uploaded by

    Sonai Healtcentre
    This document is a death certificate for Sanju Mia Barbhuiya, who died on October 20, 2021 in Dhanipur, Assam, India at the age of 55. The certificate provides details of the deceased such as name, sex, age, date and place of death, names of parents, and addresses. It was issued on December 20, 2022 by the Registrar of Births and Deaths at the Sonai Primary Health Centre in Assam, where the death was originally registered.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    FROM-6

    GOVERNMENT OF ASSAM
    DEPARTMENT OF HEALTH SERVICES
    HARINA NEW PRIMARY HEALTH CENTRE

    DEATH CERTIFICATE

    (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT. 1969AND RULE 8/13 OF THE ASSAM
    REGISTRATION OF BIRTHS 7 DEATHS RULES 1999)

    THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS
    THE REGISTER FOR SONAI PRIMARY HEALTH CENTRE OF TAHSIL/BLOCK SONAI OF DISTRICT CACHAR OF STATE/UNION
    TERRITORY ASSAM INDIA.

    NAME OF DECEASED : SANJU MIA BARBHUIYA SEX: MALE

    DATE OF DEATH PLACE OF DEATH:


    20-10-2021 DHANIPUR, P.O. SONAIMUKH
    TWENTY OCTOBER TWO THOUSAND TWENTY ONE CACHAR, ASSAM - 788119

    AGE OF DECEASED: NAME OF HUSBAND/WIFE:


    55 YEARS
    HUSBAND /WIFE AADHAR NO:
    NAME OF MOTHER: NAME OF FATHER:
    MAKABBIR ALI BARBHUIYA
    MOTHER’S AADHAR NO: FATHER’S AADHAR NO:

    ADDRESS OF THE SECEASED AT THE TIME OF DEATH PERMANENT ADDRESS OF DECEASED:

    DHANIPUR, P.O. SONAIMUKH DHANIPUR, P.O. SONAIMUKH


    CACHAR, ASSAM - 788119 CACHAR, ASSAM - 788119

    REGISTRATION NO: DATE OF REGISRTAION:


    D:2022 18-12394-556229 10-09-2022

    REMARKS (IF ANY):


    ---
    DATE OF ISSUE: ISSUING AUTHORITY
    20-12-2022 REGISTRAR (BIRTH & DEATH)
    SONAI PRIMARY HEALTH CENTRE
    UPDATED ON:
    21-12-2022 02:14:55

    “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”

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