GOVERNMENT OF ANDHRA PRADESH FORM-6
DEPARTMENT OF HELTH, MEDICAL AND FAMILY WELFARE
GRAMA PANCHAYAT BANDUR
DEATH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGI`TRATION OF BIRTHS &DEATHs ACT, 1969 AND RULE 8/13 OF THE ANDHR PRADESH 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
GRAMA PANCHAYAT BANDUR OF TAHSIL/BLOCK BOMMANAHAL OF DISTRICT ANANTAPUR OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.
Oo s / NAME OF DECEASED : HULIGANNA Oosáw I SEX: Ü000O / FEMALE
d o ã / DATE OF DEATH: ádeoS dáo |PLACE OF DEATH:
01-12-2023 1-118, DEVAGIRI, BANDUR, BOMMANAHAL, ANANTAPUR, ANDHRA
FIRST-DECEMBER-TWO THOUSAND TWENTY THREE PRADESH, 515871.
NAME OF HUSBAND / WIFE:
Útodd Ss, ws, Sá/AGE OF DECEASED: H GOWRAMMA
33 YEARS
eso soas / HUSBAND/WIFE AADHAAR NO. :
XXXXXXXX9015
NAME OF MOTHER:
d o / NAME OF FATHER:
H ANJANEYYA
esa So, / MOTHER'S AADHAAR NO. :
eSar6 Kos / FATHER'S AADHAAR No.
áS•odJáJ áy
OF DEATH :
aráF I ADDRESS OF THE DECEASED AT THE TIME D,N odard cÁP |PERMANENT ADDRESS OF DECEASED
1-188,
1-118, KURUVALLI, KURUVALLI, BOMMANAHAL, ANANTAPUR,
BANDUR, BANDUR, BOMMANAHAL, ANANTAPUR, ANDHRA PRADESH- 515871
ANDHRA PRADESH- 515871
Sàrá Kos / REGISTRATION NO: es J /DATE OF REGISTRATION:
D-2023: 28-10459-000012 04-12-2023
J3oávES /REMARKS (IF ANY):
ISSUED DATE 04/1 2/2023
30 TO/ DATE OF ISSUE: aO SSó EO dodsO / ISSUING AUTHORITY
04-12-2023
REGISTRAR (BIRTH &DEATH)
GRAMA PANCHAYAT BANDUR
UPDATED ON :
04-12-2023 07:57:25
"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITy"
THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS AVALID LEGAL DOUCMENT FOR ALL OFFICIAL PURPOSES.
assán, sdaáw 3sooc 21 8rvS sàrá Sobos / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "
