Panchayat:Repo18/vol2-page0402 - Revision history

Ratheeshthankappan: /* FORM - 1 */

2019-01-23T12:25:45Z

FORM - 1

← Older revision		Revision as of 12:25, 23 January 2019
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	(After completing all columns 1 to 20, informant		(After completing all columns 1 to 20, informant
	will put date and signature here:)<br>		will put date and signature here:)<br>
	~~Date . Signature of left thumb marks of the informant~~
	\|\| To be filled by the informant		\|\| To be filled by the informant
			Date . Signature of left thumb marks of the informant<br>
	8. Town or Village of Residence of the		8. Town or Village of Residence of the
	mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)		mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)

LejiM at 06:39, 2 February 2018

2018-02-02T06:39:48Z

← Older revision		Revision as of 06:39, 2 February 2018
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	'''		'''
	FORM - 1'''		===== FORM - 1 =====
			'''
	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-

LejiM at 06:38, 2 February 2018

2018-02-02T06:38:22Z

← Older revision		Revision as of 06:38, 2 February 2018
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	~~402~~


	~~THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999~~
	'''		'''
	FORM - 1'''		FORM - 1'''

LejiM at 06:37, 2 February 2018

2018-02-02T06:37:53Z

← Older revision		Revision as of 06:37, 2 February 2018
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	To be detached and sent for statistical processing		To be detached and sent for statistical processing
	\|\| To be filled by the Registrar Registration No.		\|\| To be filled by the Registrar Registration No.
	Registration Date: Date of Birth: Sex: 1. Male		Registration Date: <br>
	2. Female Place of Birth: 1. Hospital/Institution		Date of Birth: Sex: <br>
	2. House Name and Signature of the Registrar		1. Male
			2. Female <br>
			Place of Birth: 1. Hospital/Institution
			2. House Name and <br>
			Signature of the Registrar

	\|}		\|}
	{{create}}		{{create}}

LejiM at 06:34, 2 February 2018

2018-02-02T06:34:58Z

← Older revision		Revision as of 06:34, 2 February 2018
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	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	! ~~!! \|\|~~ '''Form No. 1'''		! '''Form No. 1''' !! \|\|
	[See Rule 5] '''BIRTH REPORT FORM''' !!		[See Rule 5] '''BIRTH REPORT FORM''' !!
	\|-		\|-
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	\|\| To be filled by the informant		\|\| To be filled by the informant

	8. Town or Village of Residence of the		8. Town or Village of Residence of the
	mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)		mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)
	1. Town 2. Village (C) Name of the District: (d) Name of State: Religion of the family: (Tick the appropriate entry below) 1. Hindu 2. Muslim 3. Christian 4. Any other religion (Write name of the		1. Town <br>
			2. Village (C) Name of the District: (d) Name of State: Religion of the family: (Tick the appropriate entry below) <br>
			1. Hindu 2. Muslim 3. Christian 4. Any other religion (Write name of the
	religion) Father's level of education: (Enter the completed level of education e.g. If studied upto class VII but passed only class VI, write class VI)		religion) Father's level of education: (Enter the completed level of education e.g. If studied upto class VII but passed only class VI, write class VI)
	Mother's level of education: (Enter the complete level of education e.g. If studied upto class VII but passed only		Mother's level of education: (Enter the complete level of education e.g. If studied upto class VII but passed only
	class VI, write Class VI) 12. Father's occupation: (If no occupation write 'Nil')		class VI, write Class VI) <br>
	\|\| To be filled by the informant 13. Mother's occupation:		12. Father's occupation: (If no occupation write 'Nil')
	(If no occupation write 'Nil') 14.		\|\| To be filled by the informant <br>
			13. Mother's occupation:
			(If no occupation write 'Nil') <br>
			14.
	Age of the mother (in completed years) at the time of marriage: (If married more than once, age at first		Age of the mother (in completed years) at the time of marriage: (If married more than once, age at first
	marriage may be entered) 15. Age of the mother (in completed years)		marriage may be entered) <br>
	at the time of this birth: 16. Number of children born alive to the		15. Age of the mother (in completed years)
			at the time of this birth: <br>
			16. Number of children born alive to the
	mother so far including this child: (Number of children born alive to include also those from earlier marriage(s), if		mother so far including this child: (Number of children born alive to include also those from earlier marriage(s), if
	any) 17. Type of attention at delivery: (Tick the		any) <br>
	appropriate entry below) 1. Institutional - Government 2. Institutional - Private or Non-Govern		17. Type of attention at delivery: (Tick the
	ment 3. Doctor, Nurse of Trained midwife 4. Traditional Birth Attendant		appropriate entry below) <br>
			1. Institutional - Government <br>
			2. Institutional - Private or Non-Govern
			ment <br>
			3. Doctor, Nurse of Trained midwife <br>
			4. Traditional Birth Attendant
	5. Relatives or others 18. Method of Delivery: (Tick the appropriate		5. Relatives or others 18. Method of Delivery: (Tick the appropriate
	entry below) 1. Natural 2. Caesarean		entry below) 1. Natural 2. Caesarean

LejiM at 06:14, 2 February 2018

2018-02-02T06:14:05Z

← Older revision		Revision as of 06:14, 2 February 2018
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	\|\|'''Birth Report Statistical Information''' <br>		\|\|'''Birth Report Statistical Information''' <br>
	This part to be detached and sent for		This part to be detached and sent for
	statistical processing In case of multiple births, fill in a seperate		statistical processing
			\|\| In case of multiple births, fill in a seperate
	form for each child and write 'Twin birth'		form for each child and write 'Twin birth'
	or 'Triple birth' etc., as the case may be, in the remarks column in the box below left.		or 'Triple birth' etc., as the case may be, in the remarks column in the box below left.

	\|-		\|-
	\| To be filled by the informant <br>		\| To be filled by the informant <br>

LejiM at 06:11, 2 February 2018

2018-02-02T06:11:45Z

← Older revision		Revision as of 06:11, 2 February 2018
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	This part to be added to the Birth Register		This part to be added to the Birth Register

	'''Birth Report Statistical Information''' <br>
			\|\|'''Birth Report Statistical Information''' <br>
	This part to be detached and sent for		This part to be detached and sent for
	statistical processing		statistical processing In case of multiple births, fill in a seperate
	\|\| In case of multiple births, fill in a seperate
	form for each child and write 'Twin birth'		form for each child and write 'Twin birth'
	or 'Triple birth' etc., as the case may be, in the remarks column in the box below left.		or 'Triple birth' etc., as the case may be, in the remarks column in the box below left.

LejiM at 05:32, 2 February 2018

2018-02-02T05:32:58Z

← Older revision		Revision as of 05:32, 2 February 2018
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	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	! ~~തലക്കുറി എഴുത്ത്~~ !! ~~തലക്കുറി എഴുത്ത്~~ !! ~~തലക്കുറി എഴുത്ത്~~		! !! \|\| '''Form No. 1'''
			[See Rule 5] '''BIRTH REPORT FORM''' !!
	\|-		\|-
	\| Birth Report Legal Information This part ot be added to the		\| '''Birth Report'''
	Birth Register		'''Legal Information'''
	~~\|\| Form No. 1~~		This part to be added to the Birth Register
	~~[See Rule 5] BIRTH REPORT FORM~~
	Birth Report Statistical Information This part to be detached and sent for		'''Birth Report Statistical Information''' <br>
			This part to be detached and sent for
	statistical processing		statistical processing
	\|\| In case of multiple births, fill in a seperate		\|\| In case of multiple births, fill in a seperate
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	\|-		\|-
	\| To be filled by the informant 1.		\| To be filled by the informant <br>
	Date of Birth: (Enter the exact day, month and year the child was born e.g. 1-1-2000) Sex: (Enter 'Male' or 'Female' do not use		1.Date of Birth: (Enter the exact day, month and year the child was born e.g. 1-1-2000) <br>
	abbreviation) 3. Name of the Child, if any: (If not named,		2.Sex: (Enter 'Male' or 'Female' do not use
	leave blank) 4. Name of the father:		abbreviation) <br>
	(Full name as usually written) 5.		3. Name of the Child, if any: (If not named,
	Name of the mother:		leave blank)<br>
	(Full name as usually written) *[5A. Permenant address of the parents 5B. Address of the parents at the time of		4. Name of the father:
	birth of the child.] Place of Birth: (Tick the appropriate entry 1 or 2 below and give the name of the Hospital/Institution or the address of the house where the birth took-place) 1. Hospital/ Name:		(Full name as usually written) <br>
	Institution 2. House		5.Name of the mother:
	Address: 7.		(Full name as usually written) <br>
	Informant's name: (1) Address: (2) Counter Signature and seal of the authorities concerned (in the case of		*[5A. Permenant address of the parents 5B. Address of the parents at the time of
	hospitals/Institutions) (After completing all columns 1 to 20, informant		birth of the child.] <br>
	will put date and signature here:)		6.Place of Birth: (Tick the appropriate entry 1 or 2 below and give the name of the Hospital/Institution or the address of the house where the birth took-place) 1. Hospital/ Name:
			Institution 2. House Address: <br>
			7.Informant's name: (<br>
			1) Address: <br>
			(2) Counter Signature and seal of the authorities concerned (in the case of
			hospitals/Institutions) <br>
			(After completing all columns 1 to 20, informant
			will put date and signature here:)<br>
			Date . Signature of left thumb marks of the informant
	\|\| To be filled by the informant		\|\| To be filled by the informant
	~~Date~~
	~~Signature of left thumb~~		8. Town or Village of Residence of the
	~~marks of the informant~~ 8. Town or Village of Residence of the
	mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)		mother: (Place where the mother usually lives. This can be different from the place where the delivery occured. The house address is not required to be entered.) (a) Name of TownVillage: (b) Is it a town or village: (Tick the appropriate entry below)
	1. Town 2. Village (C) Name of the District: (d) Name of State: Religion of the family: (Tick the appropriate entry below) 1. Hindu 2. Muslim 3. Christian 4. Any other religion (Write name of the		1. Town 2. Village (C) Name of the District: (d) Name of State: Religion of the family: (Tick the appropriate entry below) 1. Hindu 2. Muslim 3. Christian 4. Any other religion (Write name of the

LejiM at 05:20, 2 February 2018

2018-02-02T05:20:24Z

@@ Line 5: / Line 5: @@
 '''
 FORM - 1'''
 {{create}}

Vinod: '402 THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999 ''' FORM - 1''' {{create}}' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

2018-01-05T06:05:09Z

'402 THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999 ''' FORM - 1''' {{create}}' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

New page

402

THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999
'''
FORM - 1'''

{{create}}