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How to Apply for the Issuance of a Copy of Death Certificate/Non-Availability Certificate in Punjab

To apply for the issuance of a death certificate or a non-availability certificate in Punjab, follow the steps below. This guide will walk you through the process, including the necessary documents and details to be filled out.

Step 1: Obtain the Application Form

You can download the application form from the official Punjab government website or access it directly here.

Step 2: Fill Out the Application Form

For Official Use Only Section

• Application Number: (Leave this blank; it will be filled by the office)
• Date of Application: (Leave this blank; it will be filled by the office)
• Name of Block & Tehsil: (Leave this blank; it will be filled by the office)

Part 1: Applicant Details

• Applicant’s Relation with Deceased: Specify the relation (e.g., self, spouse, child)
• Applicant’s Name: (To be filled in Punjabi)
• Father’s Name: (To be filled in Punjabi)
• Mother’s Name: (To be filled in Punjabi)
• Applicant’s Address: (To be filled in Punjabi)

Personal Data of Applicant

(These details are of the person applying on behalf of the deceased)

• Self-Attested Photo of Applicant (Live photo to be captured while submission of application)
• Name
• Father’s Name
• Mother’s Name
• Date of Birth (Age)
• Gender: Male, Female, Transgender
• Marital Status: Married, Unmarried, Divorced, Separated, Widowed
• Spouse Name (If applicable)
• Contact Number
• Email ID
• Region: Rural, Urban
• Permanent Address
• PIN Code
• Sub District/Tehsil
• District
• State
• Village (If rural)
• Correspondence Address (if different from permanent address)
• Government Fee: Rs. 10 per copy and Rs. 5 per year for search of records
• Facilitation Charges: Rs 50

Part 2: Details of Deceased

Information	To be filled in English	To be filled in Punjabi
Name of the Deceased	*	*
Father’s Name of the Deceased	*	*
Mother’s Name of the Deceased	*	*
Grandfather’s Name of the Deceased	*	*
Gender of the Deceased: Male, Female, Transgender	*	*
Marital Status of Deceased: Married, Unmarried, Divorced, Separated, Widowed	*	*
Deceased’s Spouse Name (If applicable)	*	*
Deceased’s Spouse’s Current Address	*	*
Date of Death	*	*
Address of Deceased at the Time of Death	*	*
Permanent Address of Deceased	*	*
Is Death Certificate Available?: Yes/No	*	*
Death Registration Number (If available)	*	*
Date of Registration (If available)	*	*
Number of Copies Required	*	*

Place of Death Details

Information	To be filled in English	To be filled in Punjabi
Place of Death: Govt. Health Institution, Private Health Institution, Home, Others	*	*
Institutional Name (If applicable)	*	*
Institutional or Death Address	*	*
Death District	*	*
Death Region: Urban, Rural	*	*

If Death Region is Rural:

Information	To be filled in English	To be filled in Punjabi
Death Before 31.12.2003: Write the name of Police Station	*	*
Death Between 01.01.2004 to 30.09.2010: Write name of Revenue Block	*	*
Death After 01.10.2010: Write name of Primary Health Centre/Community Health Centre	*	*

If Death Region is Urban:

Information	To be filled in English	To be filled in Punjabi
Name of the Municipal Corporation/Councils/Nagar Panchayat where Death took place	*	*

Record Search Details

• Number of years for which search of record is required: 1, 2, 3
• From (Year): ________________
• To (Year): __________________

Note: For applying delayed registration, NAC of 3 years is required if the date of death is more than 1 year old.

Part 3: List of Required Documents

Document Name	Mandatory/Optional
ID cum Residence Proof (Applicant): Voter Card/Aadhar/Passport/Driving License	Mandatory
Copy of Death Certificate (If previously issued certificate is available)	Mandatory
ID Proof where Name and Address of Deceased is mentioned (If available)	Optional

Declaration

Fill in the declaration at the end of the form, affirming that the information provided is correct and no information is concealed.

• Date
• Declarant
• Citizen’s Signature / Thumb Impression

Step 3: Submit the Form

Submit the completed form along with the required documents to the appropriate office. The application will be processed by the District Magistrate corresponding to the present/correspondence address of the applicant.

Conclusion

Ensure all details are accurately filled, and all mandatory documents are attached. By following these steps, you can successfully apply for the issuance of a copy of the death certificate or a non-availability certificate in Punjab. For any further assistance, refer to the official document provided by the Punjab government.