Shivamogga City Corporation, ಶಿವಮೊಗ್ಗ ಮಹಾನಗರ ಪಾಲಿಕೆ
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Death Certificate - Application
Name of The Deceased *
Father / Husband's Name of the Deceased Date of Death *
Place of death Mobile Number of Applicant
 Address of Deceased
Address *
State
District *
Place
Pincode
Office *
Applied By *