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Nagpur Municipal Corporation

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Birth            Death           StillBirth
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OR
Date of Event(Birth/Death/StillBirth)      to     ( DD/MM/YYYY )
First Name
  Middle Name/Initials
  Last Name
Father's Name  
Mother's Name  
Place of Event   Hospital House Others Not Stated
Hospital Name  
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eGov Birth and Death Online Application 2.0 Build Number 178, Designed and Implemented by eGovernments Foundation