I, Samsul Mia, son of Osman Miya, resident of Bara Gaidaikhora, Sitalkuchi, Cooch Behar, West Bengal, hereby state that as per affidavit before the E.M. Court, Mathabhanga dated 19/06/2026, I am applying for my father’s death certificate. My father, Osman Miya (son of Late Jahaddi Miya), expired on 04/08/2021 at our own residence.