Annex 3 to the administrative regulation of the provision of composite state services related to death registration reference

Translated from Uzbek into English

Annex 3 to the administrative regulation of
the provision of composite state services
related to death registration

REFERENCE

ID number:	46729129
1.Full name:	SADIKOVA MAFTUNA UMID KIZI
2.Date of death:	2023-02-25
3.Date of issue:	2023-02-25
4.Document number:	4-1423-23-00580
5.Reason of death:	I46 Cardiac arrest; N17 Acute renal failure
6.Place of registration:	Samarkand city Civil Registry Office No 1.
7.Date of birth and age:	1996-08-29. 26
8.Place of death:	Republic Uzbekistan Region Samarkand region City Samarkand city Street Mirzo Ulugbek
9.Date of reference:	2023-02-25
10.PINFL of deceased person:	42908966150019
11.Medical center:	MULTIDISCIPLINARY MEDICAL CENTER OF SAMARKAND REGION

Information about Certificate of registration of death certificate

This certificate confirms that the death certificate has been recorded by the Civil Registry Office. It is equivalent to a certificate with a coat of arms and serves as a basis for the burial of the deceased. If necessary, a certified death certificate can be issued from any civil registry office based on the principle of extraterritoriality.

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Translator is not responsible for the content of the original text.
I, Akhmedjanova Dilfuza, translator practicing privately, hereby confirm this is true translation of the document of hereunto annexed.
Licence No. 1411980 issued in 14.06. 2021 by Samarkand city Center of state services.
Passport: AB 3568897 issued in 30.03.2016 by Samarkand city Department of Internal Affairs of Samarkand region
Signature__________________________________________________