Organization :Sikkim Land Revenue & Disaster Management Department
Facility : Apply for Birth/ Death Certificate Verification
Home Page : http://sikkimlrdm.gov.in/index.html
Download Forms here . :http://sikkimlrdm.gov.in/lrd/DownloadForms.html
Application Form-For -Birth Certificate Verification :
Documents enclosed in original/attested form :
** Birth report form (Original)
** B. R :No HR-0070/LR
** SSC/C0 I/Citizenship CertificatelAny other.
** Electoral Card. e) Panchayat report .
** School Certificate
** Immunization Card or hospital-Dlscharqe Certificate (Attested) .
** Passport No (For Foreign Nationals Only).
Process Sheet For Birth Certificate :
A The following attested/certified documents have been submitted by the applicant..
** SSC/COI/Citizenship’
** Panchayat Recommendation
** Electoral Card No. of father ..
** Certificate of the Head Master of the School (For School going Childern).
** Immunisation Card or Hospital Discharged Card.
** Bank Receipt No Date . Submitted for approval and signature.
Follow Up Action :
** Entries in Issue register made vide No date .
** Issue No. entered in certificate (Yes/No).
** “. Certifieateissued after ta~ing proper receipt (Yes/No).
Send To :
The District Collector, East District, Gangtok.
Sub :
Sir, On the basis of the following documents & info rmation enclosed I may be granted Birth Certiflcateverjfication as per details are under ;
Application Format :
** Name of Informant
** Name of Child
** Name of Father
** Name of Mother
** Dateof-Birth
** Place of Birth
** Address
** Gram ·PanchayatUnit
** Nationality; ./ N.A (Yes! No)
Application For The Death Certificate Verification :
Documents enclosed inoriginal/attested form. :
** Death Report Form.
** B.R. No dt : MlI-00701LR.
** .SSC I COIl Citizenship CertificateI any other.
** Electoral Card.
** :tv1LA recommendation/ Panchayat Report
** Police Report (in UD and other related Cases)
** Certificate of Medical Officer or Autopsy I Hospital Certificate
** Passport No (For Foreign National) Only.
Process Sheet For Death Certificate. :
A. The following attested! Certified documents have been submitted by the applicant,
** SSCICOIlCitizenship Certificate.
** MLA recommendation} Panchayat Report.
** Police Report.
** Certificate of Medical Action, if any. .
** BeNo dated : ; .. Submitted for approval.
Follow up Action : .
** Entries in issue register made vide No dated
** IssueNo.enteredinCertificate.Yes/No.
** Certificateissuedafter takingproperreceipt.Yes/No.