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Check Death Registration Status
Death Registration Form
Death Date
:
Time :
Name :
Father's Name :
Death Place :
Age :
Sex :
Male
Female
Marital Status :
Unmarried
Married
Occupation :
Farmer
Employed
Unemployed
Selfemployed
HouseWife
Religion :
Hindu
Muslim
Sikh
Christian
Nationality :
Indian
Nepali
Permanent Address :
Cause of Death :
Accidental
Natural
Disease
Medical Treatment :
Medically Certified :
Yes
No
Informer Details
Name :
Date :
Address :
Phone :
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