CHANDIGARH ADMINISTRATION DEPARTMENT OF HEALTH MUNICIPAL CORPORATION, CHANDIGARH Death Certificate (Issued under Section 12/17 of the Registration of Births and Deaths Act, 1969 and Rule 8/13 of the Chandigarh Registration of Births and Deaths Rules 2000) 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) Tehsil/Blockof Districtof StateUnion TerritoryNameSexDate of DeathPlace of DeathName of Father/HusbandName of MotherAddress of decreased at the time of deathPermanent Address of decreasedRegistration No.Date of RegistrationRemarks (if any)SealSignature of the issuing authorityChief Registrar"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH"
