FORM NO.
6
S
Govermment of Rajasthan
anf v iftaf aturaT
Directorate of Economics & Statistics
Reglstrar - JLN. HOSPITAL,AJMER, AJMER
DEATH CERTIFICATE
fartuT A, 2000 AaA 813 HT AIÊt fsar )
(lssued under Section 12/17 of the Registration of Births andDeaths At,1969 and Rule 8/13 of the
Rajasthan Registration of Births and Deaths Rules, 2000)
This is to certify that the following information has been taken from
register for (Local area / Local bõdy)..... of Tehsil /Block..
the originalofrecod
of District.
of death which is the
State /Union Territory.
AA I Name: I Devi Singh folar ISex :
HAG 3TUR GR /Deceased Aadhar No : ow0.4809 HcY T FAAIPlace of Death:
HT Â af IDate of Death : 17/12/2023
Aldl aA IName of Mother :adt t
AIGI 3ITUR R / Mother Aadhar No :
Mai AA IName of Father : fRIA
fMI 3HTT GRIFather Aadhar No :
fa AA / Name of Husband /Wife : tar
fa H HTUR AR Husband / Wife Aadhar No:
Address of Deceased at the time of death: Permanent Address of the deceased:
tat a 8, efe, Fia, fara-tt (a.)
(a.)
farur HEII Registration No : zfur AÊ Date of Registration :
Signature valid
08119001000001100081 / 2024 03/01/2024 Digitaly sig
SH (NIN
feyuRemarks If Any: 16
I àâ a a /Date of Issue: 08/01I2024
artt art arfuet FAT ISignature of issuing authority
Software Courtesy National Informatics Centre (NIC), Rajasthan Certificate can be tracked on htps://pehchan.raj.nic.in