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CAPITAL DEVELOPMENT AUTHORITY
(DIRECTORATE OF MUNICIPAL ADMINISTRATION)
RAMNA 6/1, ISLAMABAD - PAKISTAN
APPLICATION FOR DEATH REGISTRATION
Asstt. Admin. Officer
DeputyDirector/Director
| 1. | Serial No.
Date: |
| 2. | Name & Surname of the Deceased and his/her nationality |
| 3. | Name of Husband/Father/Mother |
| 4. | Occupation/Profession
of the Deceased |
| 5. | Address of the Deceased |
| 6. | Religion, Caste and Sex
of the Deceased |
| 7. | Occupation/Profession
of Husband/Father/Mother |
| 8. | Date, time and cause
of death |
| 9. | Age of the Deceased |
| 10. | Name and Address of the
Person Making Report |
| 11. | Date of Report |