Application for Duplicate Death Certificate

Format of application to send to hospital, and ask them to give you a death certificate of a close relative

Application for Duplicate Death Certificate

This application is request to issue a duplicate certificate of death of my grandfather. My grandfather was your patient last year, he was suffering with cancer. He remained your patient for three weeks after which he expired on date___ . The certificate was collected by one of our relatives but unfortunately he lost the certificate in his way to home. I request you to issue a duplicate certificate in name of my grandfather. All the documents, and bills are enclosed with the letter.

Application for Duplicate Death Certificate

To the Lahore Hospital,

Dear Sir/Madam,

I have sent this application to request you for a duplicate death certificate of my father. Last year during my father’s last days when he was really sick, we admitted him to your hospital. He was declared dead by the doctors on Monday, 25th January (Date). We did receive a death certificate but unfortunately it has been misplaced. As I have to apply to universities, and for some scholarship, I need to show them the death certificate of my father. I am really close to meeting my deadline so I request you kindly approve my application as soon as possible so that I can collect the document. I assure you that such act of responsibility will not happen again. You can contact me for any further clarification, or queries.

Best Regards,

Fatima Aamir


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