|
|
Line 59: |
Line 59: |
| *Date of death both Georgian and Hijri (in number and alphabetical) | | *Date of death both Georgian and Hijri (in number and alphabetical) |
| *Deceased: | | *Deceased: |
| :- Name
| | {{Block indent|- Name}} |
| :- Tribe
| | {{Block indent|- Tribe}} |
| :- Sex
| | {{Block indent|- Sex}} |
| :- Nationality
| | {{Block indent|- Nationality}} |
| :- Religion
| | {{Block indent|- Religion}} |
| :- Address
| | {{Block indent|- Address }} |
| :- Occupation
| | {{Block indent|- Occupation}} |
| :- Age
| | {{Block indent|- Age}} |
| :- Place of birth
| | {{Block indent|- Place of birth }} |
| :- Date of birth
| | {{Block indent|- Date of birth}} |
| :- Civil number
| | {{Block indent|- Civil number}} |
| :- Place of registration, if known
| | {{Block indent|- Place of registration, if known}} |
| *Name and tribe of father and mother, if known | | *Name and tribe of father and mother, if known |
| *Informant: name, address and relation to deceased<ref>Ibid, p. 11.</ref> | | *Informant: name, address and relation to deceased<ref>Ibid, p. 11.</ref> |