Text of the death certificate in Georgian
Basic data
| Name | ■■■■■ |
| Surname | ■■■■■■■■■■ |
| Gender | ■■■■■■■■■■ |
| Personal number | ■■■■■■■■■■ |
| Citizenship | Georgia |
| Date of birth | 22 December 1974 |
| Place of birth | Georgia, Tbilisi |
| Date of death | 1 June 2023 |
| Place of death | Georgia, Tbilisi |
Document information
| Date of death registration | 1 June 2023 |
| Record number of the act | ■■■■■■■■■■ |
| Date of certificate issuance | 1 June 2023 |
| Authority issuing the certificate | SSGS Tbilisi Civil Registry Service |
| Authorized person | Jaba Sharvadze |
Text of the death certificate in Georgia in Russian
| Name | ■■■■■ |
| Surname | ■■■■■■■■■■ |
| Gender | ■■■■■■■■■■ |
| Personal number | ■■■■■■■■■■ |
| Citizenship | Georgia |
| Date of birth | 22 December 1974 |
| Place of birth | Georgia, Tbilisi |
| Date of death | 1 June 2023 |
| Place of death | Georgia, Tbilisi |
Document information
| Date of death registration | 1 June 2023 |
| Record number of the act | ■■■■■■■■■■ |
| Date of certificate issuance | 1 June 2023 |
| Authority issuing the certificate | SSGS of Tbilisi Civil Registry Office |
| Authorized Person | Jaba Sharvadze |
What a death certificate from Georgia looks like
