AFFIDAVIT FOR DELAYED REGISTRATION OF DEATH
I, Sukhwinder Kaur, son of the deceased named below, resident of House No. 55, Guru Nanak Nagar, Jalandhar 144001, do hereby solemnly affirm and declare as under:
- 1. That I am the deponent above named and am competent to swear this affidavit.
- 2. That Gurmail Singh, son/daughter/wife/husband of Late Sh. Ajit Singh, aged about 74 years, last resident of House No. 55, Guru Nanak Nagar, Jalandhar 144001, died on 1 April 2026 at Civil Hospital, Jalandhar.
- 3. That the fact of death is evidenced by a hospital death summary or discharge certificate
Further particulars of the last rites: Cremated on 14 July 2025 at the Municipal Cremation Ground, Jalandhar; Receipt No. 2281.
- 4. That this death has not previously been registered under the Registration of Births and Deaths Act, 1969.
- 5. That the death could not be registered within the twenty-one days ordinarily allowed under that Act because The family was unaware that death registration was compulsory, the death having occurred at home in a village with no ready access to the Registrar’s office.
- 6. That the date of death falls between thirty days and one year from the date of death, so that registration requires the written permission of the Registrar (or other officer prescribed for the purpose) and this affidavit, under sub-section (2) of section 13 of the Registration of Births and Deaths Act, 1969
- 7. That I request the Registrar (Births & Deaths), Municipal Corporation, Jalandhar, the State of Punjab, to register this death accordingly.
- 8. That the contents of this affidavit are true and correct to my knowledge, no part of it is false, and nothing material has been concealed therefrom.
DEPONENT
VERIFICATION
Verified at Jalandhar on 2 April 2026 that the contents of paragraphs 1 to 8 above are true and correct to my knowledge, that no part of it is false and that nothing material has been concealed therefrom.
DEPONENT