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    Sarojamma Death Certificate

    Uploaded by

    ASHOK
    This document is a death certificate from the Government of Andhra Pradesh certifying the death of KLAKSHMIDEVAMMA. It provides key details about the deceased such as name, age (57 years), date of death (26 August 2023), place of death, names of spouse and parents, addresses, and registration details. The certificate was issued on 24 September 2022 by the Gram Panchayat Amadagur and is a computer-generated document approved as a valid legal record by the Government of India.

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

    Sarojamma Death Certificate

    Uploaded by

    ASHOK
    119 views1 page
    This document is a death certificate from the Government of Andhra Pradesh certifying the death of KLAKSHMIDEVAMMA. It provides key details about the deceased such as name, age (57 years), date of death (26 August 2023), place of death, names of spouse and parents, addresses, and registration details. The certificate was issued on 24 September 2022 by the Gram Panchayat Amadagur and is a computer-generated document approved as a valid legal record by the Government of India.

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    © © All Rights Reserved

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    This document is a death certificate from the Government of Andhra Pradesh certifying the death of KLAKSHMIDEVAMMA. It provides key details about the deceased such as name, age (57 years), date of death (26 August 2023), place of death, names of spouse and parents, addresses, and registration details. The certificate was issued on 24 September 2022 by the Gram Panchayat Amadagur and is a computer-generated document approved as a valid legal record by the Government of India.

    Copyright:

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

    Sarojamma Death Certificate

    Uploaded by

    ASHOK
    This document is a death certificate from the Government of Andhra Pradesh certifying the death of KLAKSHMIDEVAMMA. It provides key details about the deceased such as name, age (57 years), date of death (26 August 2023), place of death, names of spouse and parents, addresses, and registration details. The certificate was issued on 24 September 2022 by the Gram Panchayat Amadagur and is a computer-generated document approved as a valid legal record by the Government of India.

    Copyright:

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

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    o-6
    FORM-6
    GOVERNMENT ÖF ANDHRA PRADESH
    DEPARTMENTOF
    OF HEALTH,
    MEDICAL AND FAMLY WELFAR
    GRAMA PANCHAYAT AMADAGUR

    DEATH CERTIFICATE

    o12 0F THE ANDHRA PRADESH REGISTIRATTON OP


    SUED UNDER SECTION 12/17 OP THE REGISTRATION OF BIRTHS & DRATHS ACT 1080
    THS &DEATHS RULES 1999.)

    S IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORICNAL RRCORD OF DEATH WHICH IS THE REGISTER FOR
    SATHYA SA1 OF STATEUNION TERRITORY ANDHRA PRADESH, INDIA.
    AMA PANCHAYAT AMADAGUR OF TAHSTLBLOCK AMADAGUR OF DISTRICT SRI

    dts ss' ó / NAME OFDECEASED: KLAKSHMIDEVAMMA Oorso/SEX- TII FEMALE


    8ÑScn / AADHAAR NO.:
    RCQ000X7036
    Sao Soto |PLACE OF DEATH:
    3b| DATE OP DEATH:
    66-08-2023 2/154, AM¶DAGUR, AMADAGUR, AMADAGUR, SRI SATHYA SAI,
    SETH-AUGUST-TWO THOUSAND TWENTY THREE ANDHRA PRADESH, 515556.

    s i Po,"o , NAME OF HUSBAND / WIFE:


    ~ocas ás, ns, Sabá) | AGE OF DECEASED: KAMSALA LAKSHMANA CHARI
    57 YEARs SP6 Soas / HUSBAND/WIFE AADHAAR NO. :

    B r NAME OF MOTHER: So oo / NAME OF FATHER :

    t 5 sor MOTHER'S AADHAAR NO.: eSPP Scas / -FATHER'S AADHAAR NO. :


    d t a á ä)áN aáP |ADDRESS OF THE DECEASED AT THETIME OF S G 3 SSP |PERMANENT ADDRESS OF DECEASED
    TEAH:
    2/154,
    AMADAGUR AMADAGUR, AMADAGUR, SRI SATHYA SAI,
    154, ANDHRAPRADESH- 515556
    DADAGUR, AMADAGUR, AMADAGUR, SRI SATHYA SAI,
    S3HPA PRADESH. 515556

    Sras b/DATE OF REGISTRATION:


    S S Sons /REGISTRATION NO:
    D203 2811327-000016 02-09-2023

    áR [REMARKS (IF ANY):

    IDAIE OF LSSUE bancfaTsfAIEEINGAUTHORITY


    iantTH)
    do24-2022 AaaaNCHAYAT AMADAGUR
    -0023 (947-2

    THIS ES AcOMPUTER GENERATED CERTIFICATE WHICH CONTAINS PACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
    THE GOVT. OFINDIAVIDE CIRCULAR NO. 1/12/2014VS(CRS) DATED 27JULY-2015 HAS
    APPROVED THIS CERTIFICATE AS AVALID LEGAL DOUCMENT FORALL OFFICIAL PURPOSES.
    -s s n , so daás so 21 Broá Sàrao 3ahos ENSURE REGISTRATION OF EVERY BIRTH AN DEATU

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