Application for Survival Certificate

To

The Sub-Divisional Officer

______________________

West Tripura.

Sub: Prayer for issue a survival certificate

Sir,

With due respect and humble submission I/We beg to state that I/We are the

legal heirs of decessed……………………………………………………………………

Son/Daughter/Wife of …………………………………………….of Vill……………..

P.S………………………Dist…………….Now I am / We are in need of a survival

Certificate as the legal heir (s) of the same who died on ……………..at………………

……….leaving behind his / her survivors as follows :

Sl.No. Name of the legal heir(s) Relationship with the Age.

deceased person.

May I /We therefore pray and hope that your honour would be pleased to issue a survival certificate in favour of me/us and thus oblige.

Date: Yours faithfully,