Death Certificate Request Forms State Name Uttar Pradesh Full Name of the Deceased Confirm Name of the Deceased Gender Male Female Other Date Of Death Confirm Date Of Death Place of Death Name of Husband/Wife Hasband/Wife Adhar Number Father Name Father Aadhar Number Mother Name Mother Aadhar Number Address at time of Death Permanent Address Applicient Name Applicient Mobile Upload Father/Mother Adhar Upload Husband/Wife Adhar Declaration I certify that the information I have written on the application form and the documents I have submitted to be true and accurate. Submit