[Boutique] hospital death certificate format

Part 1: Hospital death certificate format

According to ××××, it is proved that ×××, male, died in ××××××××××.

People's Republic of China XX City Notary Office

Notary: ×××

×年×月×日

Part 2: Hospital Death Certificate Format

Zhong'an Notary Office, Hefei City, Anhui Province:

__________ Due to going to __________ country __________, you need to apply for __________ death notary. After investigation of the personnel file or according to _______________________, I hereby certify: _____________, _____ male, born on ________________________________________________________________

, in the province of __________________________

The city died.

Hereby prove

Fill in the person: ____________

Sealed by relevant departments:

year month day