A death certificate serves as a crucial document, capturing the final details of an individual's life, and is vested with significant legal and societal implications. This document, officially recognized under the Registration of Births and Deaths Act, 1969, and further detailed within the Rajasthan Registration of Births and Deaths Rules, 2000, provides a formal acknowledgment of an individual's passing. It includes essential information like the deceased’s name, sex, date and place of death, along with names of the mother and father or husband. Additionally, it records the address of the deceased at the time of death, permanent address, and is supplemented with the registration number, date of registration, remarks, if any, date of issue, signature and address of the issuing authority, and official seal. By meticulously documenting such specifics, the death certificate not just certifies the occurrence of death, but also serves as a vital tool for legal processes, inheritance matters, and in settling estates. It stands as a testament to the cessation of rights and duties of the deceased, while simultaneously providing closure and facilitating the necessary administrative duties for the living.
| Question | Answer |
|---|---|
| Form Name | Death Certificate Form |
| Form Length | 1 pages |
| Fillable? | Yes |
| Fillable fields | 144 |
| Avg. time to fill out | 29 min 7 sec |
| Other names | death certificate application form pdf, death certificate form bihar pdf download, death certificate format, death certificate up pdf |
IZ:I LA- 6
FORM NO. 6
E`R;Q IZEK.K&I=K
DEATH CERTIFICATE
¼ tUe vkSj e`R;q jftLVªhdj.k vf/kfu;e] 1969 dh /kkjk 12@17 vkSj
jktLFkku tUe vkSj e`R;q jftLVªhdj.k fu;e] 2000 ds fu;e 8@13 ds v/khu tkjh fd;k x;k ½
(Issued under Section 12/17 of the Registration of Births and Deaths Act,1969 and Rule 8/13 of the Rajasthan Registration of Births and Deaths Rules, 2000 )
;g izekf.kr fd;k tkrk gS fd fuEu fyf[kr lwpuk e`R;q ds ewy vfHkys[k ls yh xbZ gS tks fd ¼LFkkuh; {ks=k@LFkkuh; fudk; ½ |
||
{ks=k |
dk jftLVj gSA |
|
This is to certify that the following information has been taken from the original record of death which is
the register for (local area / local body)………………………….of tahsil / block………………………. of
District………………………………of state / Union territory ……………………………
uke@Name: ………………………………………..............fyax@ Sex ……..............................…………………. e`R;q
dh frfFk@Date of Death …………………..............e`R;q LFkku @Place of death.......................……………… ekrk dk
uke@Name of mother………………………………………………………..............................................
firk@ifr dk uke @ Name of Father/Husband ………………………………...............................................…
e`rd dk e`R;q ds le; dk irk |
e`rd dk LFkk;h irk |
Address of the deceased at the time of death: |
Permanent address of the deceased: |
…………… ………………………………... |
.................................…………………………..….. |
…………………………………………....… |
.........................................……………………….... |
………………………………………........… |
.......................................………………………….. |
jftLVªhdj.k
fVIi.kh@Remarks(if any)………………………..................................................................................................
tkjh djus dh rkjh[k @ Date of issue:….................................tkjh djus okys izkf/kdkjh ds gLrk{kj@Signature of the issuing authority
tkjh djus okys izkf/kdkjh dk irk @ Address of the issuing authority
eqgj @Seal