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1147301

Consulate General of Arab Republic of
Tel: (212) 759-7120
Egypt
Fax: (212) 308-7643
1110 Second Avenue
New York. N.Y 10022
No. ( )
TRUE TRANSLATION OF A OF A DEATH CERTIFICATE
Death Certificate Issued from
:
Name of Deceased
:
Sex
:
Mother's Name
:
Place of Death
:
Date of Death
:
Age of Deceased
:
Religion
:
Marital Status
:
Occupation
:
Nationality
:
Place of Residence
:
This death certificate is registered in the Ministry of Health, Civil Registry of _______________,
Egypt under No. ______________ on __________________.
Officer in Charge
Registrar’s Office
Issued on:
Seal of the Ministry of Interior
This is a true translation of an original Egyptian document without any responsibility towards the
Consulate of Egypt in New York as to its contents.
CONSUL GENERAL
New York, USA
Date: