Panchayat:Repo18/vol2-page0404 - Revision history

Ratheeshthankappan at 05:12, 24 January 2019

2019-01-24T05:12:48Z

← Older revision		Revision as of 05:12, 24 January 2019
Line 55:		Line 55:
	Name :              Code No.        Registration No:        Registration Date		Name :              Code No.        Registration No:        Registration Date
	District:                                         Date of Birth: <br>		District:                                         Date of Birth: <br>
	Tahsil:~~ ~~                                           Sex: 1. Male 2. Female <br> Town/Village:		Tahsil:                                          Sex: 1. Male 2. Female <br> Town/Village:
	Place of Birth: 1. Hospital/Institution<br> Registration Unit::                          2. House		Place of Birth: 1. Hospital/Institution<br> Registration Unit::                          2. House
	<br>Name and Signature of the Registrar		<br><div style="text-align: right; direction: ltr; margin-left: 1em;">Name and Signature of the Registrar</div>

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

Ratheeshthankappan at 05:10, 24 January 2019

2019-01-24T05:10:24Z

← Older revision		Revision as of 05:10, 24 January 2019
Line 54:		Line 54:

	Name :              Code No.        Registration No:        Registration Date		Name :              Code No.        Registration No:        Registration Date
	District:~~                       ~~                                           Date of Birth: <br>		District:                                         Date of Birth: <br>
	Tahsil:                                        Sex: 1. Male 2. Female <br> Town/Village:                                 ~~           ~~		Tahsil:                                            Sex: 1. Male 2. Female <br> Town/Village:
	Place of Birth: 1. Hospital/Institution<br> Registration Unit::                          ~~     ~~ 2. House		Place of Birth: 1. Hospital/Institution<br> Registration Unit::                          2. House
	<br>Name and Signature of the Registrar		<br>Name and Signature of the Registrar

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

Ratheeshthankappan at 05:07, 24 January 2019

2019-01-24T05:07:16Z

← Older revision		Revision as of 05:07, 24 January 2019
Line 53:		Line 53:
	\|\| To be filled by the Registrar                         To be filled by the Registrar		\|\| To be filled by the Registrar                         To be filled by the Registrar

	Name :                      ~~  Code No.~~Registration No:        Registration Date		Name :              Code No.        Registration No:        Registration Date
	District:                                Date of Birth: <br>		District:                                                                  Date of Birth: <br>
	Tahsil:                               Sex: 1. Male 2. Female <br> Town/Village:		Tahsil:                                        Sex: 1. Male 2. Female <br> Town/Village:
	Place of Birth: 1. Hospital/Institution<br> Registration Unit::                                2. House		Place of Birth: 1. Hospital/Institution<br> Registration Unit::                                2. House
	<br>Name and Signature of the Registrar		<br>Name and Signature of the Registrar

Ratheeshthankappan at 05:01, 24 January 2019

2019-01-24T05:01:30Z

← Older revision		Revision as of 05:01, 24 January 2019
Line 49:		Line 49:

	\|-		\|-
	\| To be filled by the Registrar Registration No:		\| To be filled by the Registrar <br>Registration No:                        Registration Date: <br>Registration Unit: <br>Town/Village:                                                District: <br>Remarks (if any):
	Registration Date: Registration Unit: Town/Village:
	District: Remarks (if any):
	Name and Signature of the Registrar		Name and Signature of the Registrar
	\|\| To be filled by the Registrar                         To be filled by the Registrar		\|\| To be filled by the Registrar                         To be filled by the Registrar

	Name :                        Code No.&Registration No:        Registration Date		Name :                        Code No.Registration No:        Registration Date
	District:                                Date of Birth: <br>		District:                                Date of Birth: <br>
	Tahsil:                               Sex: 1. Male 2. Female <br> Town/Village:		Tahsil:                               Sex: 1. Male 2. Female <br> Town/Village:
	Place of Birth: 1. Hospital/Institution<br> Registration Unit::                                2. House		Place of Birth: 1. Hospital/Institution<br> Registration Unit::                                2. House
	~~2. House~~ <br>Name and Signature of the Registrar		<br>Name and Signature of the Registrar

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

Ratheeshthankappan at 04:57, 24 January 2019

2019-01-24T04:57:38Z

← Older revision		Revision as of 04:57, 24 January 2019
Line 53:		Line 53:
	District: Remarks (if any):		District: Remarks (if any):
	Name and Signature of the Registrar		Name and Signature of the Registrar
	\|\| o be filled by the Registrar To be filled by the Registrar		\|\| To be filled by the Registrar                         To be filled by the Registrar
	~~Registration Date:~~
	~~Registration No~~: ~~Name~~ Code No.		Name :                        Code No.&Registration No:        Registration Date
	Date of Birth: ~~District~~:		District:                                Date of Birth: <br>
	Sex: 1. Male		Tahsil:                               Sex: 1. Male 2. Female <br> Town/Village:
	2. Female ~~Tahsil:~~ Town/Village:		Place of Birth: 1. Hospital/Institution<br> Registration Unit::                                2. House
	Place of Birth: 1. Hospital/Institution Registration Unit:		2. House <br>Name and Signature of the Registrar
	2. House Name and Signature of the Registrar

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

Ratheeshthankappan at 04:40, 24 January 2019

2019-01-24T04:40:56Z

← Older revision		Revision as of 04:40, 24 January 2019
Line 18:		Line 18:
	<div style="text-align: right; direction: ltr; margin-left: 1em;">Tor 'Triple birth’ etc., as the case may be,</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;">Tor 'Triple birth’ etc., as the case may be,</div>
	<div style="text-align: right; direction: ltr; margin-left: 1em;">in the remarks column in the box below left.</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;">in the remarks column in the box below left.</div>



	\|-		\|-
	\| To be filled by the informant <br>		\| To be filled by the informant <br>
Line 41:		Line 38:
	7. Town or Village of Residence of the mother: (Place where the mother usually lives. This can be		7. 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.) <br>		different from the place where the delivery occured. The house address is not required to be entered.) <br>
	(a) Name of ~~TownVillage~~: <br>		(a) Name of Town/Village: <br>
	(b) Is it a town or village: (Tick the appropriate entry below)		(b) Is it a town or village: (Tick the appropriate entry below)
	1. Town <br>		1. Town <br>
	2. Village<br>		2. Village<br>
	(c) Name of District: <br>		(c) Name of District: <br>
	(d) Name of State: Age of the mother (in completed years) at the time of this birth: Mother'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) Type of attention at delivery: (Tick the appropriate entry below) 1. Institutional - Government 2. Institutional		(d) Name of State:<br> Age of the mother (in completed years) at the time of this birth:<br> Mother'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)<br> Type of attention at delivery: (Tick the appropriate entry below)<br> 1. Institutional - Government<br> 2. Institutional
	- Private or Non-Government Doctor, Nurse or Trained midwife <br>		- Private or Non-Government<br> 3. Doctor, Nurse or Trained midwife <br>
	4. Traditional Birth Attendant <br>		4. Traditional Birth Attendant <br>
	5. Relatives or others Duration of pregnancy (in weeks) Cause of foetal death (if known) (Columns to be filled are over. Now put signature at left)		5. Relatives or others<br> Duration of pregnancy (in weeks)<br> Cause of foetal death (if known)<br> (Columns to be filled are over. Now put signature at left)

	\|-		\|-

Ratheeshthankappan at 04:36, 24 January 2019

2019-01-24T04:36:06Z

← Older revision		Revision as of 04:36, 24 January 2019
Line 1:		Line 1:
	~~404~~

	~~THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999~~

	'''		'''

Ratheeshthankappan: /* FORM - 3 */

2019-01-24T04:19:17Z

FORM - 3

← Older revision		Revision as of 04:19, 24 January 2019
Line 4:		Line 4:

	'''		'''
	~~====~~ FORM ~~- 3 ====~~		<center>'''Form No. 3'''
			(See Rule 5]<br>
			STILL BIRTH REPORT FORM
	'''		'''
	{\| class="wikitable"		{\| class="wikitable"
	\|-
	~~! !! '''Form No. 3'''~~
	~~(See Rule 5]<br>~~
	~~STILL BIRTH REPORT FORM~~

	\|-		\|-
	\| Still Birth Report		\| <div class="center" style="width: auto; margin-left: auto; margin-right: auto;">Still Birth Report</div>
	Legal Information This part to be added to the<br>		<div class="center" style="width: auto; margin-left: auto; margin-right: auto;">Legal Information This part to be added to the</div><br><div class="center" style="width: auto; margin-left: auto; margin-right: auto;">Still Birth Register</div>
	Still Birth Register		\|\| <div style="text-align: left; direction: ltr; margin-left: 1em;">Still Birth Report Statistical Information</div>
	\|\| Still Birth Report Statistical Information		<div style="text-align: left; direction: ltr; margin-left: 1em;">This part to be detached and sent fo</div>
	This part to be detached and sent ~~for~~		<div style="text-align: left; direction: ltr; margin-left: 1em;">statistical processing</div>
	statistical processing		<div style="text-align: right; direction: ltr; margin-left: 1em;">In the case of multiple births, fill in a separate </div>
	In the case of multiple births, fill in a separate		<div style="text-align: right; direction: ltr; margin-left: 1em;">form for each child and write 'Twin birth' </div>
	form for each child and write 'Twin birth'		<div style="text-align: right; direction: ltr; margin-left: 1em;">Tor 'Triple birth’ etc., as the case may be,</div>
	or 'Triple birth’ etc., as the case may be,		<div style="text-align: right; direction: ltr; margin-left: 1em;">in the remarks column in the box below left.</div>
	in the remarks column in the box below left.


Line 33:		Line 31:
	Name of the mother: (Full name as usually written) <br>		Name of the mother: (Full name as usually written) <br>
	Place of Birth: (Tick the appropriate entry below and give the name of the Hospital/ Institution or the address of the house where the birth took place) <br>		Place of Birth: (Tick the appropriate entry below and give the name of the Hospital/ Institution or the address of the house where the birth took place) <br>
	1. Hospital/ ~~Name~~:Institution <br>		<div style="text-align: left; direction: ltr; margin-left: 1em;">1. Hospital/ :Institution</div> <br>
			<div style="text-align: center; direction: ltr; margin-left: 1em;">Name</div>
	2. House		2. House
	Address: Informant's name: <br>		Address:<br> Informant's name: <br>
	(1) Address:<br>		(1) Address:<br>
	(2) ~~Conter~~ Signature and seal of the authorities		(2) Counter Signature and seal of the authorities
	concerned (in the case of hospitals/Institutions) (After completing all columns 1 to 12, informant will		concerned (in the case of hospitals/Institutions)<br>
	o put date and signature here.)		(After completing all columns 1 to 12, informant will put date and signature here.)<br>
	Date:
	~~Date~~:		Date:<div style="text-align: right; direction: ltr; margin-left: 1em;">Signature of left thumb marks of the informant</div>
	Signature of left thumb marks of the informant
	\|\| To be filled by the informant <br>		\|\| To be filled by the informant <br>
	7. Town or Village of Residence of the mother: (Place where the mother usually lives. This can be		7. Town or Village of Residence of the mother: (Place where the mother usually lives. This can be

LejiM at 09:00, 2 February 2018

2018-02-02T09:00:41Z

@@ Line 3: / Line 3: @@
 THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999
-'''FORM - 3'''
+'''
 {{create}}

Vinod: '404 THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999 '''FORM - 3''' {{create}}' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

2018-01-05T06:07:28Z

'404 THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999 '''FORM - 3''' {{create}}' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

New page

404

THE REGISTRATION OF BIRTHS & DEATHS RULES, 1999

'''FORM - 3'''

{{create}}