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 Detail | Full Name: |
ID (Citizenship / Passport) |
Signature:
Name of Local Registrar: Seal of Office