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When & where died

Name & Surname

Sex

Age/

DOB

Rank, Profession or occupation and claim to Indian citizenship

Residence at the time of death

Signature, description & residence of informant

When registered

Signature of consular officer

1

2

3

4

5

6

7

8

9

10


1.

26.06.2021 at around 07:10 pm at Martinska Ves, Zagrebacka

Vikrant Vilas Patil

Male

26 Yrs.


01.03.1995

Employee at Brodosplit Shipyard Ltd., Split Supavla 21, Croatia – 21000


Passport No. L8389291

Brodosplit Shipyard, Split, Croatia

Mr. Zoran Zic,

Identity Card No. 112841919,

Croatian Citizen, Address: Poljana Cicka, Velika Gorica, Poljana Cicka 60C,

Croatia

09.07.2021























2.

18.07.2021 at around 06:10 pm at Pokonji Dol, Hvar, Croatia

Mohammad Wasil Malik

Male

27 Yrs.


10.06.1994

Mohammad Wasil Malik Ph.D student at Leuvan University in Belgium 



Passport No. N7398507

Leuvan University in Belgium 

Mr. Vinko Franicevic,

Identity Card No. 105517797,

Croatian Citizen, Address: Stari Grad, Gornji Dvori 7

26.07.2021