Application Letter Format For Duplicate Death Certificate

If you have lost or misplaced the death certificate of someone known to you, then you can make an application to the nearest municipality or panchayat office or NAC under whose jurisdiction your locality comes.

They will tell you the exact procedure and documents required for making an application and getting the duplicate death certificate. Nowadays, in many places, there are also online facilities for making such applications.

Here is an example of an application letter for a duplicate death certificate to the municipal corporation.

TEMPLATE

Date: _________

To

The Registrar of Birth and Death

and City Health Officer,

________ Municipal Corporation,

(City's Name).

Sub.: Application for the Issue of Duplicate Death Certificate.

Dear Sir/Madam,

I am the son/daughter of Late Mr./Mrs. _________________. Your good office had issued a death certificate of Late Mr./Mrs. _________________ as per my application earlier. However, I have lost/misplaced the same for some unintentional reasons.

I now need a duplicate death certificate to comply with certain legal procedures. Kindly note the following details.

1. Name of the Applicant: ________ & Age: ___ years.

2. Name of the Father/Husband of the Applicant: ___________.

3. Present Address of the Applicant: ________.

4. Name of the Deceased: ______________.

(in Capital Letters)

5. Date of Birth of the Deceased: ___________.

6. Date of Death of the Deceased: ___________.

7. Place of Death of the Deceased: ___________.

8. S ex of the Deceased: _______.

9. Applicant’s Relation with Deceased: _________.

I am enclosing herewith the identity and address proofs of the deceased and mine for your information and records.

Therefore, I kindly request your goodself to issue a duplicate death certificate as the information mentioned above. I shall be grateful to you.

Thanking you,

Yours faithfully,

    (Signature)

(Name of the Applicant)

Enclosure: As above.