Mpohor Fiase District Assembly

Death Certificate Registration Procedures

Particulars of deceased person:

a) Full name
b) Age
c) Hometown.
d) Nationality.
e) Marital status.
f) Level of formal education attained.
g) Occupation.
h) Place and address of usual residence

Death Identification particulars

a) Date of death
b) Detailed address of place of death (hospital, clinic maternity home, house, others) specify

Cause of death

a) Death certified by full name and qualification of medical doctor with contact address

Coroner’s order issued by

a) Full name of coroner
b) Address of court.
c) Place of burial
d) Cemetery town/city etc

Particulars of mother and father (to be completed if decease age is below 15 years)

a) Full name of mother and father
b) Age.
c) Nationality
d) Level of formal education attained
e) Occupationd

Particular of informant (where applicable)

a) Full name
b) Relationship.
c) Residential Address