Death Registration

death Registration

Zanzibar Civil Status Registration Agency (ZCSRA)

taarifa za marehemu / deceased information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Tarehe ya kuzaliwa / Date of birth Tarehe ya Kifo / Date of death Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya nyumba / House Number Utaifa / Nationality

mahali alipoishi / Place of residence
Is address in zanzibar

mahali alipofariki / Place of death
Is address in zanzibar

Taarifa za kifo / Other characteristics

Is still birth ? Whether autopsy used to establish cause of death ? Pregnancy-related death (for female 15-49 years of age):

Sababu ya kifo (ikiwa ni nyingine) / Cause of death (if other ) Namna ya kifo / Manner of death Mthibitishaji / Certifier

Taarifa za maziko / Burial Information
Is address in zanzibar ?
Nchi / Country Anwani / Address
informant information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya simu / Phone number Sanduku la posta / P.O.Box Nambari ya nyumba / House Number Uraia /Nationality Shehia ya makazi / Shehia of domicile Uhusiano na marehemu / Relation with deceased Hali ya Ajira / Employment Status

Sababu ya kuchelewa kwa maombi / Reason of late application Sababu ya kuomba cheti / Reason of certificate request

Shuhuda wa kifo / person whow witness event

Same as informant ? Aina ya kitambulisho / Type of id Number ya kitambulisho / Id Number Aina ya Shuhuda / Type of person

Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya simu / Phone number Sanduku la posta / P.O.Box Mahali alipozaliwa / Place of birth Nambari ya nyumba / House Number Uraia /Nationality Shehia ya makazi / Shehia of domicile Uhusiano na marehemu / Relation with deceased Hali ya Ajira / Employment Status
Taarifa za marehemu / deceased information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Tarehe ya kuzaliwa / Date of birth Tarehe ya Kifo / Date of death Umri / Age Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya nyumba / House Number Utaifa / Nationality

mahali alipoishi / Place of residence
Is address in zanzibar
Wilaya ya makazi / District of Residence Eneo la kuhesabia / Enumeration area

mahali alipofariki / Place of death
Is address in zanzibar
Wilaya ya kifo / District of death Eneo la kuhesabia / Enumeration area

Taarifa za kifo / Other characteristics

Is still birth ? Whether autopsy used to establish cause of death ? Pregnancy-related death (for female 15-49 years of age):

Mhudumu wakati wa kuzaliwa / Attendant at birth Aina ya tukio la mahali / Type of place occurrence Chanzo cha kifo / Cause of death Sababu ya kifo (ikiwa ni nyingine) / Cause of death (if other ) Namna ya kifo / Manner of death Mthibitishaji / Certifier

Taarifa za maziko / Burial Information
Is address in zanzibar ?
Nambari ya idhini ya mazishi / Burial permit number Nchi / Country Mkoa / Region Eneo la kuhesabia / Enumerate Area Anwani / Address

informant information

Aina ya kitambulisho / Type of id Number ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya simu/ Phone number Sanduku la posta / P.O.Box Mahali pa kuzaliwa / Place of birth Nambari ya nyumba / House Number Uraia /Nationality Mahali pa kuishi / Place of domicile Uhusiano na marehemu / Relation with deceased Hali ya Ajira / Employment Status

Sababu ya kuchelewa kwa maombi / Reason of late application Sababu ya kuomba cheti / Reason of certificate request

Shuhuda wa kifo / person whow witness event

Same as informant ? Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Aina ya mtu / Type of person

Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya simu / Phone number Sanduku la posta / P.O.Box Nambari ya nyumba / House Number Uraia /Nationality Mahali pa kuishi / Place of domicile Uhusiano na marehemu / Relation with deceased Hali ya Ajira / Employment Status

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