Document Sr.
No : ES18506345
ਰbਜ^ਟਰੇੇਸ਼ R Rੰੰਬਰ /Registration No: DU/ES/24/0056472971
ਪੰੰਜਾਬ ਸਰਕਾਰ/Government of Punjab
ਫਸਹਤ ਤੇੇ ਪਫਰਵਾਰ ਭਲਾਈ ਫਵਭਾਗ /Health and Family Welfare Department
ਿਚੀ ਰਫਜਸਟਰਾਰ ਜਨਮ ਤੇੇ ਮੌੌਤ, ਪੰੰਜਾਬ / Chief Registrar (Birth & Death), Punjab
ਮੌੌਤ ਦਾ ਸਰਟੀਿਫਕੇੇਟ/ Death Certificate
ਡੀ ਪੀਐਚ /D.P.H - 369
ਿਾਰਮ/ Form - 7
ਤ ਜਦ a ਹ gb? ਹੇੇਠ b@c
7ਹ ^ਤ ਦc? ?ca ਿ e^Ra
ਚ ਅ^ਿ◌ ਰ
b?aਰਡ b\ ਚ ਿ 8 ਗ8 ਹgbਜਹnc b? ਲੋੋਕਲ ਰਫਜਸਟਰਾਰ,ਜRਮ ਤੇੇ ਮੌੌਤ , Rਗਰ
ਮੌੌਤ ਿੰ ੰ a ,
◌ ਿ ਐਨ ਪੀ ਸਾਹਨੇੇ ਵਾਲਤਹb c^ਿਲੁੁਿਫਆਣਾਪੂੂਰਬੀ bmਿa ਲੁੁਿਫਆਣਾ ਜਬਦੇੇ
bRਗਮ/? ^ਿ/<R.c. a^ਿ2024 ਦੇੇਰ ਜਟਰ
b ^ ਚਦਰਜਹ
b\ g I
This is to certify that following information has been taken from the original death record which is registered in the death register
Local Registrar(EOMC), Birth & Death Municipal Corporation/Council/NP NP SAHNEWAL , Tehsil Ludhiana East , District
Ludhiana of Punjab State for the year 2024 .
bਮਤ ? ਦa Raਮ/N ame of Deceased:ਅਮਰੀਕ ਫਸੰੰਘ /Amrik Singh
ਜc\R^aਥc ਦa R / Spouse's
Name:
ਕੁੁਲਵੰੰਤ ਕੌੌਰ/ Kulwant Kaur
bਿਤa ਦa Raਮ/Father's Name: ਗੁੁਰਾਫਸੰੰਘ / Gura Singh
ਮaਤa ਦa Raਮ/Mother's Name : ਸੁੁਰਜੀਤਕੌੌਰ / Surjit Singh
ਮੌੌਤ ਦc bਮਤc/Date Of Death: 29/11/2024 ^aR /Place Of Death:
ਮੌੌਤ ਦa ਅਥ
ਰbਜ^ਟਰੇੇਸ਼R ਦc bਮਤc /Date of Registration: 10/12/2024 ਨੰੰ ਦਪੁੁਰ ਸਾਹਨੇੇ ਵਾਲ / Nandpur Sahnewal
ਫਮਤ ਕ ਦਾ ਮੌੌਤ ਸਮ ਪਤਾ / ਫਮਤ ਕ ਦਾਪ NJ / ਕਾ ਪਤਾ
Address of Deceased at the time of death Permanent Address of the Deceased
ਮ?aR Rੰ.131 Rੰਿੰਦੁੁਰ aਹ^Rੇ\aਿ / House No.131 Nandpur ਮ?aR Rੰ.131 Rੰਿੰਦੁੁਰ aਹ^Rੇ\aਿ / House No.131 Nandpur
Sahnewal Sahnewal
Date of Issuance : 23/12/2024 Signature of the Issuing Authority:
Signed By: Vikramjeet
Sign Date: 23/12/2024 10:56AM
Designation : Local
Registrar(EOMC)
Location :
NP SAHNEWAL
Remark - Approved By Digital Signature
Rੋੋਟ:- ਜਮਅਤੇੇ
R ਿੰ ੰ ਜRਮ ਅਤੇੇ ਮੌੌਤ ਰbਜ^ਟਰੇੇਸ਼ R bRਯਮ 2004 ਦੇੇ bRਯਮ 8 ਦੇੇ ਅਧcR ਜaਰc ?cਤa bਗਆ ।
ਮੌੌਤ ਰbਜਟ^ਰੇੇਸ਼ R <?ਟ 1969 ਦc ਧaਰa 12 ਅਤੇੇਜaਬ
Note:- Issued u/s 12 of the Registration of Births and Deaths Act, 1969 and rule 8 of the Punjab Registration of Births and Deaths Rules 2004.
1. The authenticity of this document can be verified using document serial number at the web link '[Link]
or by scanning QR code. Any discrepancy in details on this document as compared to those available on the verification web link renders this
document invalid.
2
3. This is a digitally signed certificate and doesn't require physical signature, or hologram, or stamp as per Punjab Government Notification no.
E122499/GRMC/172 Dated: 31-08-2022, available at '[Link] The responsibility of verification of this document before accepting
4.. the same for any legal purposes would rest with the Institution / Organization /
5. Company or any other Entity where this document is produced.
This certificate is valid as per Information Technology Act 2000 as amended from time to time. In case of any discrepancy, please inform the
issuing authority about the discrepancy in the certificate.
.
********** Print Date : 23/12/2024
Signature Not Verified
Digitally signed by Vikramjeet
Date: 2024.12.23 10:56:42
+05:30 Reason: Digitally Signed