Meeseva CDMA Non Availability Certificate for Death Application Form

Meeseva CDMA Non Availability Certificate for Death Application Form

Download Meeseva CDMA Non Availability Certificate for Death Application Form

APPLICATION FOR NON AVAILABILITY CERTIFICATE FOR Death
From
Name:
Address:
Telephone No:

Sir,
Sub: - Request of Non-
availability
I,______________________________
Aged about _____________
years working as ________________________________
_______________________
Residing at H.No__________________

I declare that My_______________
died at __________
____________
because of ___________________________ (Cause of Death)

I hereby declare that the above
I bear the responsibility for the correctness of the above

Documents to be enclosed:
1.Application Form

APPLICATION FOR NON AVAILABILITY CERTIFICATE FOR

To

The Registrar of Birth and Deaths,
Registration Unit ID._______________________,
District Name _____________________________,

CDMA Department, Andhra Pradeshavailabilityfor Death Certificate –Reg.
><<>><

I,______________________________
_____S/o./W/o._______
__________________________
years working as ______________________________________________________
___ (Designation & office Address) ________________________________________________________________ _________________________________________________
_ (Complete door I declare that My_______________
_________________________________ (Relation & Name)
___________________________________________
_____ because of ___________________________ (Cause of Death) on___________ (I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned.

Signature of the Applicant

APPLICATION FOR NON AVAILABILITY CERTIFICATE FOR
DEATH

District Name _____________________________,
Department, Andhra Pradesh_________________________& office Address)
____________________ Complete doorNo & Address).
_________________________________ (Relation & Name)_____ (Place of Death) _ (Date of Death).
mentioned information is correct up to my knowledge and
Signature of the Applicant