DEATH REPORT FORM

TAMILNADU POLICE DEPARTMENT

DEATH REPORT

     xxxxxxxxxxx  PS Cr.No.  xxxxxxx u/s  xxxxxx   

1.Name  :Sekh Najrul
2.Father’s Name  :Entaj Ali
3.Sex  :Male
4.Nationality  :Muslim/ Shek
5.Age  :51/2021
6.Date of Death  :22.12.2021 At 20.00 Hrs to 23.12.2021 At 07.00 Hrs
7.Cause of Death  :Un-Natural
8.Duration of the deceased  :22.12.2021 At 20.00 Hrs to 23.12.2021 At 07.00 Hrs
9.Usual residence    :Nij Ganaraidanaga, Araidanga, Maldah, West Bengal-732214
10.Place of Death  :Sunguvarchatram, Foxconn company Back side, laber shed
11.Social Condition  :NIL
12.Profession  :Wage
13.Whether to be buried or burnt           :Burnt
14.Name of Burial Ground:Araidanga, Maldah, West Bengal

          After completed the Postmortem body handed over to             PC 1786 xxxxxxxx of xxxxxxxxxxxxxxxx Police, xxxxxxxxx District.

TAMIL NADU POLIC DEPARTMENT

NO OBJECTION CERTIFICATE

  xxxxxxxx PS

  xxxxxxxxx Dist.

Dt.23.12.2021

                 This Certify that Mr. xxxxxx Age about 51/2021 S/o. Entaj Ali  is residing at Nij Ganaraidanaga, Araidanga, Maldah, West Bengal State Pin Code No. Pin. 11111111. the above deceased  person was worked  in xxxxx Engg Trading Pvt ltd, in xxxxx  at Kanchipuram District, after the colosed the job and went to staying residence xxxxx xxxxxxx company,Back side Laber Shed   On 22.12.2021  at night 20.00 Hrs to 23.12.2021 at 07.00 Hrs  died   The body kept at  xxxxxxxx Govt. Hospital, xxxxxxxxxx, Tamil Nadu state. In this connection a case was registered in xxxxxxxxx Police Station Cr.No. xxxxxx U/s.174 CrPC on 23.12.2021 After the Postmortem his Corpses will be taken to his native place at Nij Ganaraidanaga, Araidanga, Maldah, West Bengal State on 23.12.2021 by Air (Flight) from Meenambakkam Airport. Hence there is no objection in taking corpse to West Bengal State.

    Sub-Inspector of Police,

xxxxxxxxxxxxxxxxxxxxxxx PS

     xxxxxxxxxxxxxx Dist.

kuz mwpf;if

rp1 jpUg;bgUk;g[J}u; fhty; epiya Fw;w vz;/     

r/gp   

1/KGg;bgah;  
2/ghypdk;  :   
3/taJ  :     
4/njrk;-kjk;  :    
5/,we;j njjp  :      
6/,wg;gpw;fhd fhuzk;  :    
7/,we;jjpd; fhy mst[  :     
8/tpyhrk;       
9/,we;j ,lk;   :
10/jpUkzkhdtuh  :     
11/bjhHpy;  :: :  
12/gpnujk; g[ijf;fg;gLfpwjh. vupf;fg;gLfpwJ Vhpf;fg;gLfpwjh  : :
13/kahdk; mike;Js;s ,lk;  :

          gpnuj ghpnrhjid Koe;jJk; chpathplk; gpnujj;ij  nrh;g;gpd; gpnujj;ij j/fh//////////////////////-K/ep/fh//////////////////////////jpU///////////////////////////////////////////// rp1 _bgUk;g[Jhh; fhty; epiyak; vd;gthplk; xg;gilf;f gzpt[ld; nfhUfpnwd;/