APPLICATION FORM FOR LEGALHEIRSHIP CERTIFICATE

1.

Name of the Applicant:

2.

/
Father/Husbands Name:

3.

/
Sex (M/F)

4.

Residential Address :

5.

Name of the deceased :

6.

.
( )
Death Certificate No. :
(Original Certificate to be enclosed)

7.

Legal Heirs of the deceased *

.
Sl.No.
(1)

Name

Age

Relationship

(2)

(3)

(4)

Marital Status
(5)

If the applicant belongs to Islam Religion, the details of the
legalheirs of the deceased as per Islamic Rules may be given.

8.

?
(
)
Purpose for which the certificate is required.
(Necessary documents to be enclosed)
) ? ?
( /

)
Deceased had one wife/ two wives
(Details of children of first wife /
Second wife to be enclosed)
)

9.

Details

.
Ration Card No.

10.

?
Relationship of the petitioner with the deceased.

11.

Date of application

Signature of the Applicant