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    Initial Download Certificate

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    Lokanath Choudhury
    This document is a death certificate issued by the Bhubaneswar Municipal Corporation in Odisha, India. It certifies that Prakash Kumar Barik, a 45-year old male, died on March 29, 2023 at SUM Hospital in Bhubaneswar. He was a resident of Uditnagar, Sundargarh, Odisha. The certificate provides his father's name, addresses, and registration details related to recording his death. It is a computer-generated certificate digitally signed by the issuing authority.

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    Initial Download Certificate

    Uploaded by

    Lokanath Choudhury
    10K views1 page
    This document is a death certificate issued by the Bhubaneswar Municipal Corporation in Odisha, India. It certifies that Prakash Kumar Barik, a 45-year old male, died on March 29, 2023 at SUM Hospital in Bhubaneswar. He was a resident of Uditnagar, Sundargarh, Odisha. The certificate provides his father's name, addresses, and registration details related to recording his death. It is a computer-generated certificate digitally signed by the issuing authority.

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    This document is a death certificate issued by the Bhubaneswar Municipal Corporation in Odisha, India. It certifies that Prakash Kumar Barik, a 45-year old male, died on March 29, 2023 at SUM Hospital in Bhubaneswar. He was a resident of Uditnagar, Sundargarh, Odisha. The certificate provides his father's name, addresses, and registration details related to recording his death. It is a computer-generated certificate digitally signed by the issuing authority.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10K views1 page

    Initial Download Certificate

    Uploaded by

    Lokanath Choudhury
    This document is a death certificate issued by the Bhubaneswar Municipal Corporation in Odisha, India. It certifies that Prakash Kumar Barik, a 45-year old male, died on March 29, 2023 at SUM Hospital in Bhubaneswar. He was a resident of Uditnagar, Sundargarh, Odisha. The certificate provides his father's name, addresses, and registration details related to recording his death. It is a computer-generated certificate digitally signed by the issuing authority.

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    © All Rights Reserved
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    (English Version) FORM NO-6

    ISSUE NO : 3766/2023

    GOVERNMENT OF ODISHA

    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    Bhubaneswar Municipal Corporation

    CERTIFICATE OF DEATH

    Issued under Section 12/17 of the Registration of Births and Deaths Act, 1969 and 8/13 Rule of the Odisha
    Registration of Births and Deaths, Rule 2001.
    This is to certify that the following information has been taken from the original record of death which is in the
    register for Bhubaneswar Municipal Corporation of Tahasil BHUBANESWAR
    of District KHORDHA of State ODISHA

    NAME: PRAKASH KUMAR BARIK SEX: MALE

    DATE OF DEATH: PLACE OF DEATH:


    29/03/2023 SUM HOSPITAL, BHUBANESWAR

    AGE: DECEASED'S ID PROOF NO:


    45

    NAME OF FATHER: FATHER'S ID PROOF NO:


    KASHI NATH BARIK

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


    AT-UDITNAGAR, PO-UDITNAGAR, PS-UDITNAGAR, UDITNAGAR, PO-UDITNAGAR, PS-UDITNAGAR,
    SUNDARGARH, ODISHA, INDIA SUNDARGARH, ODISHA, INDIA

    REGISTRATION NO: REGISTRATION DATE:


    3244/2023 05/04/2023

    UDRN NO: DATE OF ISSUE:


    21UD362-0001-003244-2023 21/04/2023

    Signature Not Verified Dr Deepak Kumar Bisoyi


    Digitally signed by DEEPAK Issuing Authority
    KUMAR BISOYI
    Date: 2023.04.21 16:34:55 IST Registrar, Births & Deaths
    Reason: Death Certificate
    Location: BHUBANESWAR HEALTH OFFICER

    THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FASCIMILE SIGNATURE OF THE ISSUING AUTHORITY.
    It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature,stamp or seal. This certificate is
    issued as per section 4,5 & 6 of information technology Act 2000 and it's subsequent amendments in 2008.For any query or
    verification, please visit https://www.birthdeath.odisha.gov.in Tampering of this certificate will attract
    penal action.

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