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Application form for Birth & Death
Home
About us
Gram Panchayats
Laipham Khunou GP
HEINGANG GP
Kairang Khomidok
Lairikyengbam Leikai GP
Nilakuthi GP
Schemes
Downloads
Official Login
Application form for Birth & Death
Application for Birth and Death
Please Provide Basic data
Application for *
Birth Certificate
Death Certificate
Place of occurrence*
Date of occurrence*
Name of the applicant*
Gender*
Male
female
Transgender
Father Name*
Mother Name*
Husband/Wife of
Permanent Address*
Temporary/Present Address
Mobile No.*
Submit
3159 Turnpike Drive
Huntsville
Alabama
info@redfern.com
00 527 729 23