Identification Act, 1997 (Act No. 68 of 1997)

Regulations

Identification Regulations, 1998

Annexures

Annexure 7 : Death Certificate

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ANNEXURE 7

 

(Section 13 of Act No. 68 of 1997: Regulation 7)

 

DEATH CERTIFICATE

 

PARTICULARS FROM THE POPULATION REGISTER IN RESPECT OF :

 

IDENTITY NUMBER:        ..............................................................................

 

SURNAME:                ..............................................................................

 

FIRST NAMES:                ..............................................................................

 

DATE OF BIRTH:                ..............................................................................

 

GENDER:                ..............................................................................

 

MARITAL STATUS:        ..............................................................................

 

DATE OF DEATH:        ..............................................................................

 

PLACE OF DEATH:        ..............................................................................

 

CAUSE OF DEATH:        ..............................................................................

 

DATE ISSUED:                ..............................................................................

 

 

OFFICE CODE/STAMP:        ..............................................................................