Full name of the deceased
Date and place of death
Age
of the deceased
Cause of death
Occupation of the deceased or name and occupation of the husband if
it was a woman who was married or widowed
Name, relationship to the deceased and address of the person who reported
the death
Date of registration
Name of registrar
From 1969, the deceased's address, place and date of birth and the
maiden name if a married or widowed woman
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