Death Registration From
Death date
Time
Name
Father's Name
Death Place
Age
Sex
Male
Female
Marital Status
Unmarried
Married
Occupation
Farmer
Employed
Unemployed
Selfemployed
HouseWife
Relegion
Hindu
Muslim
Sikh
Christian
Nationality
Indian
Nepali
Permanent Address
Cause of death
Accidental
Natural
Disease
Medically Certified
Yes
No
Medical treatment
Informer Details
Name
Address
Date
Phone