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The document is a death certificate issued by the Government of West Bengal for Uttam Maity, who passed away on 12/08/2024 in Ichapur, North 24 Parganas. It includes essential details such as the deceased's age (39 years), spouse's name (Manorama Roy), and addresses. The certificate is registered under the Kolkata Municipal Corporation and is valid for official purposes.

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73 views1 page

50

The document is a death certificate issued by the Government of West Bengal for Uttam Maity, who passed away on 12/08/2024 in Ichapur, North 24 Parganas. It includes essential details such as the deceased's age (39 years), spouse's name (Manorama Roy), and addresses. The certificate is registered under the Kolkata Municipal Corporation and is valid for official purposes.

Uploaded by

avishakdas001
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form-6

GOVERNMENT OF WEST BENGAL


DEPARTMENT OF HEALTH AND FAMILY WELFARE

KOLKATA MUNICIPAL CORPORATION

DEATH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL
REGISTRATION OF BIRTHS & DEATHS RULES 2000.)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS
THE REGISTER FOR KOLKATA MUNICIPAL CORPORATION OF BLOCK/MUNICIPALITY KOLKATA MUNICIPAL CORPORATION OF
DISTRICT KOLKATA OF STATE WEST BENGAL, INDIA.

NAME OF DECEASED : UTTAM MAITY SEX : MALE

DATE OF DEATH : 12/08/2024 PLACE OF DEATH : ICHAPUR KALITALA BAPUJI


COLONY,NORTH 24 PARGANAS
KOLKATA, WEST BENGAL - 743144

AGE OF DECEASED : 39 YEARS NAME OF SPOUSE : MANORAMA


ROY
SPOUSE IDENTITY PROOF. : -

NAME OF MOTHER : NAME OF FATHER : SASADHAR MAITY

MOTHER'S IDENTITY PROOF : - FATHER'S IDENTITY PROOF : -

ADDRESS OF THE DECEASED AT HOUSENO: - 217 ICHAPUR KALITALA, BAPUJI COLONY, ICHAPUR. NORTH 24 PARGANAS,
THE TIME OF DEATH: DIST: - KOLKATA, WEST BENGAL-743144

PERMANENT ADDRESS OF HOUSENO: -38/5, STREET/ LANE: -4/91C VIDYASAGAR COLONY BELTAL RIKSHA STAND, VTC
DECEASED: NAKTALA. VILLAGE/TOWN: - KOLKATA, KOLKATA MUNICIPAL CORPORATION,DIST:- KOLKATA,
WEST BENGAL-700047

CERTIFICATE NO: D/2024/015492 DATE OF REGISTRATION: 05/09/2024

REMARKS (IF ANY):

DATE OF ISSUE: 05/09/2024850 ISSUING AUTHORITY:

UPDATED ON: 2024-09-05 01:14:17

Signature Not Verified


Digitally Signed.
Name: BIMAN CHANDRA PAL
Date: 05-Agu-2024 01:16:42

SUB-REGISTRAR (BIRTH & DEATH)


KOLKATA MUNICIPAL CORPORATION

"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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