ENGLISH TRANSLATIOIN Regisuaton B2 Sri Lanka REGISTER OF DEATHS Births and Deaths Registration Act (Cap.110) No:7279 District: Division: Kandy Twenty first day of July, 2021 1 Date and Place of Death (Two thousand twenty one) Suwasevana Private Hospital, Kandy Full Name HENRY ERNEST HESSE 3 Sexand Race Male ~ Irish National 4 Age Eighty four years : | $ Rank or Profession Airline Engineer (Retired) ves | Father | Not known | [Mater Not known | Brain stem stroke Cause of Death, and place of burial or 7 Rereren Hypertension: Mahaiyawa Crematorium. s _ Informant’s Full Name, Residence, | Dr.D.Jayasinghe and capacity for giving information _| Suwasevana Private Hospital, Kandy a 9 Informant’s Signature Registered upon declaration under Section 30. | 10 % . a Twenty first day of July, 2021 aa | Date of Registration (Two thousand twenty one) Signed II This copy is issued under the provisions of section 11 of the Births and Deaths Registration Act (Cap. 110) as amended by the Births, Deaths and Marriages (Amendment) Law, No 41 of 1975 Signed / Ilegibly Registrar Seal: P.RM.S.Renuka Kumari Registrar of Births & Deaths National Hospitat Kandy Reg No. 12082 1, D.A.S. Dhanapala, Sworn Translator appointed by the Ministry of Justice and sworn in the Distriet Court of Kandy, do hereby certify that the foregoing is a true and accurate translation of the Original Cortificate of Death, bearing No: 7279 , issued in Sinhala Language, tendered, Kandy August 11,2021 , S = = \ DAS. Dhanapala (B.A.Cey) \ ‘Sworn Translator Authority: Ministry of Justice sot MOET TeEams/03. 0726 11.2013 19/6 Colombo Street a scat 540399AFS5 Sri Lanka i © Birt ard Deaths Rigutration Ree 1Cp-410) Nor7279 Rangy ee [2 FullName THeNRY ERNEST MESSE ‘Sex and Race 2 {4 Eighty See ebhoacn aie © Parents Full Names | Necker “)Tweaty first day of Jul fee eel a0 Regiarar's Signnure | Sianed tiegibiy Date of Registration ‘This copy is issued under the provisions of section 11 of the Births and Deaths Registration Act “THROUGHS—DAS Pie MS: Renuka Kumeri Registrar of Births & Deaths Nattonal Hospital ames Reg No. 12082 Democratic Si t Republic of Sri Lanka This receipt is only to provide reference details of the Attested Documents. This reference details should be used to access the Electronic Document Attestation System for verification purposes by the End User Verification Authorities, For Secretary, Ministry of Foreign Affairs, Colombo, Sri Lenka. Attested by: 0038 Dated 13/08/2021 The validity period of the Attested Document expires after ONE year ‘Attestation ‘The Ministry of Foreign Affairs of Sri Lanka takes the responsibility for the authenticity DLAI] | Reteronce | of the Attested Documents only il they are verified by are aie www.consular.mfa.gov.IWINSTITUTION/ and entering Attestation Reference Number ol 1099131 DS KANDY GANGAWATA EAHESSE Certificate of Death KORALE AND _KANDY 72796 FOUR GRAVETSRgebontoe speedos a W mrbteem ace, * © eoabdg Sth A fest ab a (CALL - TOLL FREE) (yanmar af Lamp)S3I¥LNNOD Tv a3Gqv sa ae) ny a 0 aes ete ey pa “TRE es artarteas pace Bean aiseiasts “ogres