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MRRJ Izns"K LJDKJ Cjsyh Uxj Fuxe: Øe La ( K% Izi La

This death certificate certifies that Anu Shrivastava, son of Raj Kishore Shrivastava, died on July 24, 2015 at District Hospital in Bareilly, Uttar Pradesh, India. The certificate was issued on October 17, 2015 by the Registrar of Births and Deaths for Bareilly Municipal Corporation based on the original record of death registered with the state of Uttar Pradesh.

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Deep Tiwari
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Download as PDF, TXT or read online on Scribd
331 views

MRRJ Izns"K LJDKJ Cjsyh Uxj Fuxe: Øe La ( K% Izi La

This death certificate certifies that Anu Shrivastava, son of Raj Kishore Shrivastava, died on July 24, 2015 at District Hospital in Bareilly, Uttar Pradesh, India. The certificate was issued on October 17, 2015 by the Registrar of Births and Deaths for Bareilly Municipal Corporation based on the original record of death registered with the state of Uttar Pradesh.

Uploaded by

Deep Tiwari
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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izi= la-

21372015001713

-6
Form No. - 6

S.No:

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Government Of Uttar Pradesh

cjsyh uxj fuxe


Bareilly Municipal Corporation
tUe&e`R;q jftLVhdj.k vf/kfu;e 1969 dh /kkjk 12@17 ,oa mRrj iznsk tUe e`R;q jftLVhdj.k fu;ekoyh 2003
ds fu;e 8 ds v/khu tkjh
(Issued under the Section 12/17 of the Registration of Births and Deaths Act 1969 and under rule 8 of Uttar Pradesh, Registration
of Births and Deaths Rules 2003}

e`R;q izek.k i=
(Death Certificate)
izekf.kr fd;k tkrk gS fd fuEufyf[kr lwpuk e`R;q ds ewy vfHkys[k ls yh x;h gS tks LFkkuh; {ks=
cjsyh uxj fuxe] jkT; mRrj iznsk ds jftLVj esa vafdr gSA
This is to certify that the following information has been taken from the original record of death which is in the register for
Bareilly Municipal Corporation State U.P.

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vuqt JhokLro

Name

ANUJ SHRIVASTAVA

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Jh jkt fd'kksj JhokLro

Name of Father/Husband

SHRI RAJ KISHORE SHRIVASTAVA

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Sex

MALE

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24/07/2015-DISTRICT HOSPITAL, BAREILLY

Date of Death & Place

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Registration No

21372015001713

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Date of Registration

17/10/2015

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Issued Date

17/10/2015

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Place/District

BAREILLY

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Registrar Birth & Death
Digitally Signed by
ASHOK KUMAR
Signed on:

17/10/2015

Code: 2021870

izR;sd tUe ,oa e`R;q dk iathdj.k lqfufpr djsa / Ensure registration of every birth and death
For Certificate Verification please visit http://www.e-nagarsewaup.gov.in/ulbapps

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