Death Details - Apply Death Registration Track Death Registration

* District
* Block
* Panchayat
* Mobile No
* Email Id
Death Person Information
* Date of Death
* Gender
* Age
* Name
Permanent Address Information
* Husband / Wife Name
* Father Name
* Mother Name
* Permanent Address
* Pincode
* Address at the time of Death
* Pincode
Place of Death
* Place of Death
* Hospital / Institute Name
Door No
Ward No
Street Name
Death Address
Pincode
Address / Disease Details
* State
* District
* Town or Village
* Town / Village Name
* Religion
Occupation of the Deceased
Type of Medical Attention Received From Death
Was the Cause of Death Medically Certified
Name of Disease or Actual Cause of Death
In Case this is a Female Death, Did the Death Occur While Pregnant,at the time of Delivery or Within 6 Weeks after the end of Pregnancy
If Used to Habitually Smoke
Years
If Used to Habitually Chew Tobacco in any form
Years
If Used to Habitually Chew arecaunt in any form (Including Panmasala)
Years
If Used to Habitually Drink Alcohol
Years
Remarks