Death Certificate of Jamshid Mokhtari
Emblem of Islamic Republic of Iran
National Organization for Civil Registration
Death Certificate
Document No.: 979742 F/23
First name: Jamshid
Last name: Mokhtari Junaqani
Gender: Male
National ID Number: 4679770082
Birth Certificate Number: 98
Deceased's Information:
Date of Birth: May 31, 1983
Place of issue: Farsan
District: -
Father's Name: Gholam Ali
Mother's name: Saharnaz
Marital Status: -
Occupation: -
Education: -
Death Details:
Date of Death: May 17, 2022
Place of death: Junaqan
Cause of death: Sharp or solid object trauma
Registration number: 33296
Document Registration Place: Shahr-e-Kord
Date of registration: May 19, 2022
Notes:
Certified as a true copy of the original document presented to the Notary.
Issued by Notary Public Office No. 20 of Junaqan on May 30, 2022.
Recipient:
This certificate was issued and delivered at the request of _______.
Certificate Issuer:
Civil Registry Office of Farsan
Name of Registrar: Abdolhamid Nabipur Junaqani
Signature of Registrar and Official Stamp of Junaqan Civil Registry Office - Specific for Death Registration
