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 *