Service Description
Application Form
Apply For Service
कार्यालय मुख्य नगरपालिका अधिकारी
जन्म-मृत्यु पंजीयन शाखा
सामान्य जानकारी / General Information
मृत व्यक्ति का पूरा नाम/ Name of Deceased
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मृत्यु दिनांक / Date of Death
*
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मृत्यु दिनांक शब्दों में / DoD in words
*
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लिंग / Sex
*
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पुरुष / Male
महिला / Female
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पिता/पति का नाम / Fathers/Husband Name
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माता का नाम / Mothers Name
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Your's Jurisdication / आपका अधिकार क्षेत्र
*
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Please Select
Municipality
Municipal Corporation
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Municipality / नगर पालिका
*
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Please Select
Agar
Alirajpur
Amarwara
Ambah
AMLA
ANUPPUR NP
Ashoknagar
Ashta
Badnagar
Balaghat
Barwaha
Barwani
Begamganj
Berasia
BETUL
Bhind
Biaora
Bijuri
Bina
Chanderi
Chaurai
Chhatarpur
Dabra
Damoh
Damua
Datia
Deori
Dhanpuri Nargada Hari Dafai
Dhar
Dongar Parasia
Gadarwara
Ganjbasoda
Garhakota
Gohad
Gotegaon
Guna
Harda
Hatta
Hoshangabad
Itarsi
Jamai
Jaora
Jhabua
Kareli
Khacharod
Khargone
Khurai
Kotma
Maharajpur
Mahidpur
Maihar
Makronia Buzurg
Malajkhand
Manawar
Mandideep
mandla
Mandsaur
MULTAI
NAGAR PALIKA, MANDLA
NAGAR PALIKA, NAINPUR
Nagda
Narsimhapur
Narsinghgarh
Neemuch
Nepanagar
Nowgong
Pali
Panagar
Pandhurna
Panna
Pasan
Pipariya
Pithampur
Porsa
Raghogarh-Vijaypur
Raisen
Rajgarh
Rehli
Sabalgarh
Sanawad
Sarangpur
SARNI
Sausar
Sehore
Sendhwa
Seoni
Seoni-Malwa
Shahdol
Shajapur
Sheopur
Shivpuri
Shujalpur
SIDHI
Sihora
Sironj
Tikamgarh
Umaria
Vidisha
Waraseoni
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Municipal Corporation / नगर निगम
*
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Please Select
Agar
Alirajpur
Amarwara
Ambah
AMLA
ANUPPUR NP
Ashoknagar
Ashta
Badnagar
Balaghat
Barwaha
Barwani
Begamganj
Berasia
BETUL
Bhind
Biaora
Bijuri
Bina
Chanderi
Chaurai
Chhatarpur
Dabra
Damoh
Damua
Datia
Deori
Dhanpuri Nargada Hari Dafai
Dhar
Dongar Parasia
Gadarwara
Ganjbasoda
Garhakota
Gohad
Gotegaon
Guna
Harda
Hatta
Hoshangabad
Itarsi
Jamai
Jaora
Jhabua
Kareli
Khacharod
Khargone
Khurai
Kotma
Maharajpur
Mahidpur
Maihar
Makronia Buzurg
Malajkhand
Manawar
Mandideep
mandla
Mandsaur
MULTAI
NAGAR PALIKA, MANDLA
NAGAR PALIKA, NAINPUR
Nagda
Narsimhapur
Narsinghgarh
Neemuch
Nepanagar
Nowgong
Pali
Panagar
Pandhurna
Panna
Pasan
Pipariya
Pithampur
Porsa
Raghogarh-Vijaypur
Raisen
Rajgarh
Rehli
Sabalgarh
Sanawad
Sarangpur
SARNI
Sausar
Sehore
Sendhwa
Seoni
Seoni-Malwa
Shahdol
Shajapur
Sheopur
Shivpuri
Shujalpur
SIDHI
Sihora
Sironj
Tikamgarh
Umaria
Vidisha
Waraseoni
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मृत व्यक्ति का निवास का पता/ Residential Address of Deceased
मृत्यु का स्थान का पता / Place of Death
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मार्ग - 1 / Street-1
मार्ग - 2 / Street - 2
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वार्ड नम्बर / Ward No.
देश / Country
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Please Select
India
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Central African Republic
Cape Verde
Chad
Chile
China
Colombia
Comoros
Conga
Costa Rica
Côte d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Korea,Democratic People s Republic of
Congo, the Democratic Republic of the
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Yemen
Zambia
Zimbabwe
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राज्य / State
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Please Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
THE DADRA AND NAGAR HAVELI AND DAMAN AND DIU
TRIPURA
UTTARAKHAND
UTTAR PRADESH
WEST BENGAL
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जिला / District
Please Select
पिन कोड / Postal / Zip Code
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मृत व्यक्ति का स्थायी पता / Peramanent Address of Deceased
पत्र व्यवहार का पूर्ण पता / Complete Postal Address
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मार्ग / Street
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देश / Country
*
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Please Select
India
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Central African Republic
Cape Verde
Chad
Chile
China
Colombia
Comoros
Conga
Costa Rica
Côte d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Korea,Democratic People s Republic of
Congo, the Democratic Republic of the
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Yemen
Zambia
Zimbabwe
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राज्य / State
*
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Please Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
THE DADRA AND NAGAR HAVELI AND DAMAN AND DIU
TRIPURA
UTTARAKHAND
UTTAR PRADESH
WEST BENGAL
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जिला / District
Please Select
तहसील / Tehsil
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पिन कोड / Postal / Zip Code
*
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आवेदक का विवरण
आवेदक का नाम / Applicant Name
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पिता / पति का नाम / Father , Husband Name
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आवेदक का मृतक से संबंध रिश्ता / Relation of Applicant with Deceased
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आवेदक का पता / Address
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मार्ग / Street
वार्ड नं. / Ward No
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देश / Country
*
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Please Select
India
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Central African Republic
Cape Verde
Chad
Chile
China
Colombia
Comoros
Conga
Costa Rica
Côte d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Korea,Democratic People s Republic of
Congo, the Democratic Republic of the
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Federated States of
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Viet Nam
Yemen
Zambia
Zimbabwe
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राज्य / State
*
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Please Select
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
THE DADRA AND NAGAR HAVELI AND DAMAN AND DIU
TRIPURA
UTTARAKHAND
UTTAR PRADESH
WEST BENGAL
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जिला / District
Please Select
पिन कोड / Postal / Zip Code
*
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मोबाइल नं -
ई-मेल
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अन्य विवरण / Other Details
संलग्न :—
1. मृत्यु पंजीयन का प्रपत्र—1 पूर्णत: भरा हुआ।
2. मतदाता परिचय—पत्र की प्रति।
3. राशनकार्ड की प्रति।
4. बिलम्ब की स्थिति में शपथ—पत्र नोटरी/कार्यपालिक मजिस्टेट/ जिला रजिस्ट्रार/तहसीलदार का आदेश पत्र (जो नियम में लागू हो)
. अन्य साक्ष्य की आवश्यक प्रतियॉं।
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