To,

The Cantonment Executive Officer

Cantonment Board

Bareilly Cant.

Subject: Application for Obtaining The Death Certificate.

Sir,

With due regards, it is submitted that Shri / Smt. / Ms. / Mr.……………………..

my……………………………(Relationship with the individual/unknown) has been died

on………………………………….(date) at…… …………………………………(time).

You are kindly requested for issue a Death Certificate on payment basis.

Thanking You.

Date Signature of Applicant

Name……………………

Address………………….

Witness

1.

2.