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    Ammi-DeathCertificateIssueReport CP

    Uploaded by

    Jeya kumar

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

    Ammi-DeathCertificateIssueReport CP

    Uploaded by

    Jeya kumar
    339 views1 page

    Original Title

    Ammi-DeathCertificateIssueReport_CP

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    339 views1 page

    Ammi-DeathCertificateIssueReport CP

    Uploaded by

    Jeya kumar

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    © All Rights Reserved
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    of 1

    ÊÊÊÊLœTÊà Form No.

    ÊTŽIYÊâ>~ÊLXƫtB (See Rule 8)

    IMY…JXžÊ6O˜
    Government of Tamil Nadu
    Municipal Administration & Water Supply Department
    MADURAI CORPORATION / M¢_OÊMXJBOXyDY

    DEATH CERTIFICATE - 8P~©ÊDX}PYI…Ê


    (Issued Under Section 12/17 of the registration of Births and Deaths Act. 1969 and Rule of 8 of Tamil Nadu Registration of Birth and Death Rules 2000)

    This is to Certify that the following information has been taken from the original record of DEATH which is the register for 08 of
    MADURAI CORPORATION of Taluk of District MADURAI of State TAMIL NADU
    ÊÊÊÊÊÊÊBZ…BzGÊIBTƒB„ÊIMY…JXžÊMXJYQÊØÊMXTyGÊÊTyGÊM¢_OÊMXJBOXyDYÊLŽƬºÊ<zÊØÊ>Ê
    ^Dƫ|IÊ6DƒÊ8P~©ÊLIY^TyœQY¯|¢Ê<žtB~LyG_TÊ<KÊDX}PYI…ÊTSuB~LžBY}P¢Ø

    Name / ]LNƫ : JANE RAJA

    UID Number of Deceased/8P|ITƬ}Ê7IXƫÊ<z : XXXXXXXXXXXX

    Name of Mother / IXNŽ}Ê]LNƫ : .

    UID Number of Mother/ IXNŽ}Ê7IXƫÊ<z : XXXXXXXXXXXX


    Name of Father / I|_INŽ}Ê]LNƫ : V.PAUL RAJA
    UID Number of Father / I|_INŽ}Ê7IXƫÊ<z : XXXXXXXXXXXX
    Name of Wife /Name of Husband/ M_KTŽÊ : XXXXXXXXXX
    ]LNƫÙBHTƫÊ]LNƫ
    UID Number of Wife/UID Number of Husband/ M_KTŽÊ : XXXXXXXXXXXX
    7IXƫÊ<zÙBHTƫÊ7IXƫÊ<z
    Hours/Days/Months/Age/MHŽÙJX„ÙMXIuB„ÙÊ : 80
    TN¢
    Sex / LXQYK : FEMALE

    Date of Death / 8P|IÊ^IIY : 01-Jul-2007

    Place of Death / 8P|IÊ8G : ANITHA NURSING HOME(08)


    461A-ANNA NAGAR,,MADURAI?????????
    -625020
    Permanent Residential Address of the Deceased / : 13, MUGUNDU RAMASAMY LANE,MADURAI -9,
    8P|ITƬ}ÊJY_QNXKÊT“yžÊ«BTƬ .

    Address of the Deceased at the time of Death / :


    8P~LŽ}Ê^LX¢ÊTDY~LŽGÊ«BTƬ
    MADURAI-
    Registration No / LIYºÊ<z : 115/2007/08/00041
    Date of Registration / LIYºÊ]D€IÊ^IIY : 09/Jul/2007
    Remarks(If any) / :
    Date of Issue / ^IIY : 15/Apr/2021

    Signature and Address Of Issuing Authority


    DX}PYI…Ê6R~LTƬ}Ê_B]NX~L
    Registrar, Birth & Death: MADURAI CORPORATION
    No disclosure shall be made of particulars regarding the cause of death as entered in the Register
    8P~©LIY^TyœƒÊ<¸I~LyGÊ8P~LŽ}ÊBXOHÊ<_T­Ê8~L”IYNŽƒÊ]TRNŽG~LGt•GX¢
    (See Provision to Section 17( 1 ) - LŽƬºÊÊÛáÒÊÛÊÓ×}ÊBX~©_ONŽ}LœÓ
    ENSURE REGISTRATION OF EVERY BIRTH AND DEATH LŽP~©ÊÙÊ8P~©~ÊLIYTŽ_KÊ:²IYÊ]D€T“ƫ
    Certificate No : DCP/115/2021/0000569
    Note:This Certificate is computer generated and does not require any seal/signature the authenticity of this certificate can be
    verified https:// tnurbanepay.tn.gov.in .The Registration number is unique to each Death.

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