Javascript DHTML Drop Down Menu Powered by dhtml-menu-builder.com Birth & Death registration
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Online Death Registration

Fields in * are mandatory
*Registration Date      
*Name * Sex
*Father's/Husband Name    
*Date of Death    
*Place of Death    
* Age Marital Staus
Occupation Religion
Nationality    
* Permanent Address
   
Reason
Certified by Doctor
Type of Medical Treatment
Name of the Informer:
Remarks
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