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Signature of certifying doctor

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

SIGNATURE OF CERTIFYING DOCTOR AND NAME OF CONSULTANT

You must sign the certificate and add your qualifications, address and the date. It would greatly assist the registrar if you could also PRINT YOUR NAME IN BLOCK CAPITALS LETTERS. If the death occurred in hospital, the name of the consultant who was responsible for the care of the patient must also be given

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