To The District Registrar, Births and Deaths, District_________________. Subject: - Request for Death Certificate. Sir, Kindly issue me_________copies of death certificate as per particulars are given below: 1. Date of Death 2. Full name of deceased 3. Sex (Male/female) 4. Place of Death 5. Full name of Father/husband Of deceased 6. Permanent Address 7. Place of cremation Thanking you, Total amount of Rs.______________ Receipt No._____________________ Yours faithfully, ( ) Name_________________ Address________________ Dated__________________
