Schedule 13
(relating To Rule 7)

Schedule-13

(Relating to Rule 7)

Government of Nepal

Local Registrar’s Office

Ward No————————-Rural Municipality/Municipality

————————————-District —————-Province

Death Registration Certificate

Registration No.                                  Registration Date: BS………… (………AD)

Deceased Full Name (In English)
ID of deceased [Citizenship/Passport]:
Date of Death (B.S) …………………..……… / (………………..……A.D)
Place of Death:
Permanent Address
Full Name of Grandfather:
Full Name of Father
Full Name of Mother
Full Name of Husband/Wife:
Informant’s DetailFull Name:
ID (Citizenship / Passport)

 

Signature:

Name of Local Registrar:                                                                                 Seal of Office