This is to certify that the following information has been taken from the original record of death, which is the register for (local areas)of Tahasilof Districtof State of Jharkhand.NamePlace of DeathSexPermanent Address of DeceasedDate of DeathApplication Form for Death CertificateName of Father /Mother /Husband/ Wife PLANNING & DEVELOPMENT DEPARTMENTGOVERNMENT OF JHARKHANDPublished on National Portal of India (india.gov.in)******************************************************************************* Government Hospital Home Non-Government Hospital Others MaleFemale SealDateDate of RegistrationRegistration No.Sex of PersonDate of DeathOFFICIAL USE MaleFemaleAddress of theDescription of Fees, if any.Signature of Issuing AuthorityPublished on National Portal of India (india.gov.in)FatherHusbandWif
