Affidavit Issuance Of Death Certificate - Legal Draft

Precedent No. 83

AFFIDAVIT: ISSUANCE OF DEATH CERTIFICATE

BEFORE THE REGISTRAR OF BIRTHS AND DEATHS,

Affidavit in an Application for a certificate for Registration No of,

20

AFFIDAVIT of , S/o , aged years

residing in

The deponent abovenamed hereby solemnly affirms and states as

follows:—

1. My mother died a peaceful and natural death on
2. I have already applied for the Certificate of Administration of

the estate left behind by my deceased mother as I am her only surviving

legal representative.

1. For the purpose of issuing the aforesaid certificate, the

Administrator-General of has directed the production of a certificate

of

death of my deceased mother from the competent authority.

1. The death of my mother has been duly notified to the Registrar.
2. It is, therefore, just and necessary that the Registrar may be

pleased to issue a Death Certificate in respect of my mother's death, so

that I can produce the same before the aforesaid Administrator-General

to obtain the certificate of Administration.

Sd./ Deponent.

Verification

Verified at on this the day of , 20

that the contents of the above affidavit are true and correct to the

best of my knowledge, belief and information and nothing material has

been concealed therefrom.

Sd./ Deponent.

Solemnly affirmed and signed before me by the deponent, who is

personallyknown to me, on this the day of ,20

Sd./ Notary.