I doubt hed die. If you just wrote his name down, hed probably have a heart attack, technically die when his heart stopped beating, and then hed just come back to life like usual.
The real question is, though, what would happen if you used it on someone who can regenerate. Like, i guess it wouldnt work on the doctor, because it specifies numerous times that it only works on humans, but what if you were to, say, use it on river song, before she gave up all her regenerations for the doctor. Would she be able to regenerate out of it? Would you have to specify in the note that shes killed in a way that cuts off her regeneration?