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    Dholai Primary Health Center

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    Dholai Helthcenter
    This death certificate documents the death of Nijam Uddin Laskar, a 44-year-old male who died on July 14, 2023 in Bhaga Bazar, Islambad, Dholai, Cachar, Assam, India. The certificate was issued by the Registrar of Births and Deaths at the Dholai Primary Health Centre on August 28, 2023, based on the original record of death registered under registration number D:2023: 18-01584-000180. The certificate provides key details about the deceased such as name, age, date and place of death, as well as identification information for record keeping purposes.

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    Dholai Primary Health Center

    Uploaded by

    Dholai Helthcenter
    150 views1 page
    This death certificate documents the death of Nijam Uddin Laskar, a 44-year-old male who died on July 14, 2023 in Bhaga Bazar, Islambad, Dholai, Cachar, Assam, India. The certificate was issued by the Registrar of Births and Deaths at the Dholai Primary Health Centre on August 28, 2023, based on the original record of death registered under registration number D:2023: 18-01584-000180. The certificate provides key details about the deceased such as name, age, date and place of death, as well as identification information for record keeping purposes.

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    Dholai primary health center# passwwod

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    This death certificate documents the death of Nijam Uddin Laskar, a 44-year-old male who died on July 14, 2023 in Bhaga Bazar, Islambad, Dholai, Cachar, Assam, India. The certificate was issued by the Registrar of Births and Deaths at the Dholai Primary Health Centre on August 28, 2023, based on the original record of death registered under registration number D:2023: 18-01584-000180. The certificate provides key details about the deceased such as name, age, date and place of death, as well as identification information for record keeping purposes.

    Copyright:

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

    Dholai Primary Health Center

    Uploaded by

    Dholai Helthcenter
    This death certificate documents the death of Nijam Uddin Laskar, a 44-year-old male who died on July 14, 2023 in Bhaga Bazar, Islambad, Dholai, Cachar, Assam, India. The certificate was issued by the Registrar of Births and Deaths at the Dholai Primary Health Centre on August 28, 2023, based on the original record of death registered under registration number D:2023: 18-01584-000180. The certificate provides key details about the deceased such as name, age, date and place of death, as well as identification information for record keeping purposes.

    Copyright:

    © All Rights Reserved
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    FROM-6

    GOVERNMENT OF ASSAM
    DEPARTMENT OF HEALTH AND FAMILY WELFARE
    DHOLAI 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 & 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 DHOLAI PRIMARY HEALTH CENTRE OF TAHSIL/BLOCK SONAI OF DISTRICT CACHAR OF STATE/
    UNION TERRITORY ASSAM INDIA.

    NAME OF DECEASED : NIJAM UDDIN LASKAR SEX: MALE

    DATE OF DEATH PLACE OF DEATH:


    14-07-2023 P.O BHAGA BAZAR,ISALAMABAD,
    FOURTEEN JUL TWO THOUSAND DHOLAI,CACHAR, ASSAM - 788120
    TWENTY THREE

    AGE OF DECEASED: NAME OF HUSBAND/WIFE:


    44 YEARS
    HUSBAND /WIFE AADHAR NO:
    NAME OF MOTHER: NAME OF FATHER:
    MASADDAR ALI

    MOTHER’S AADHAR NO: FATHER’S AADHAR NO:


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

    P.O BHAGA BAZAR,ISALAMABAD, P.O BHAGA BAZAR,ISALAMABAD,


    DHOLAI,CACHAR, ASSAM - 7880120 DHOLAI,CACHAR, ASSAM - 7880120

    REGISTRATION NO: DATE OF REGISRTAION:


    D:2023: 18-01584-000180 28-08-2023

    REMARKS (IF ANY):


    ---
    DATE OF ISSUE: ISSUING AUTHORITY
    28-08-2023 REGISTRAR (BIRTH & DEATH)
    DHOLAI PRIMARY HEALTH CENTRE
    UPDATED ON:
    28-08-2023 11:06:15

    “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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