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MCCD Institutional - 4

Office of the Chief Registrar of Births and Deaths, KarnatakaIndexed 16 Aug 2026fetched 16/8/2026, 7:24:47 am
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at.............A.M./P.M. Name of the DeceasedFor use of Statistical Office Sex 1. Male 2. Female Interval between on set & death approx I (a) ........................................ State the disease, injury or Due to (or as a consequences of) complication which caused death, not the mode of dying such as heart failure, asthenia, etc. Antecedent Cause (b) ......................................... (Extractive summary — verify with official source.)
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