78   No. 41970 GOVERNMENT GAZETTE, 12 OCTOBER 2018 DHA-20 G.P.-S. 017-0150 DEPARTMENT: HOME AFFAIRS REPUBLIC OF SOUTH AFRICA ABRIDGED DEATH CERTIFICATE (Issued in terms of Act No. 51 of 1992) Certified a true extract from the death register of: Identity number Surname ............................................................................................................................................. Forenames in full ................................................................................................................................ ............................................................................................................................................................ Date of birth: Year Month Day Gender ................................................................................................................................................ Marital status ...................................................................................................................................... Date of death: Year Month Day Place of death..................................................................................................................................... Cause of death ................................................................................................................................... ............................................................................................................................................................ (Official date stamp) ..................................................................................... Director-General: Home Affairs This gazette is also available free online at www.gpwonline.co.za