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414


THE REGISTRATION OF BIRTH & DEATH RULES, 1999
<center>Total (a+b)</center>
Total should be equal to the number of Birth Report Forms (Form No. 2) attached with this monthly report. <br><div style="text-align: right; direction: ltr; margin-left: 1em;">Signature & Name of the Registrar</div><br> Dated:<br>
Submitted to the Chief Registrar/District Registrar.


'''FORM - 12'''
<center>''' FORM No. 12'''</center><center>[See Rule 14]</center><center>''' SUMMARY MONTHLY REPORT OF DEATHS '''</center><br>
1. Report for the Month of....... Уеar........... <br>2. District: <br>3. Town/village:<br> 4. Registration Unit:<br> 5. Details of Deaths Registered during the Month:<br>


 
{| class="wikitable"
Total" (a+b)
| Death ||  ||  ||  ||
* Total should be equal to the number of Birth Report Forms (Form No. 2) attached with this monthly report. Signature & Name of the Registrar Dated:
|-
Submitted to the Chief Registrar/District Registrar. FORM No. 12 (See Rule 14) SUMMARY MONTHLY REPORT of "DEATHS
| Registered within one year of occurrence || Registered after on year of occurrence || Total || Infant Deaths || Maternal deaths
1. Report for the Month of....... УеaГ........... 2. District: 3. Town/village: 4. Registration Unit: 5. Details of Deaths Registered during the Month:
|-
Deaths
| 1 || 2 || 3 || 4 || 5
|}
Maternal Deaths
Maternal Deaths
Registered Registered Totar Infant Deaths within one after one
Registered Registered Totar Infant Deaths within one after one
year of year of  occurrence
year of year of  occurrence
(1) (2) (3) (4) (5)
(1) (2) (3) (4) (5)
Note:- Infant Material Deaths should also be included in the Deaths. The Number of Statistical Reporting Form (Form No. 4) attached should be equal to the
Note:- Infant Material Deaths should also be included in the Deaths. <br>The Number of Statistical Reporting Form (Form No. 4) attached should be equal to the number of deaths registered.  
number of deaths registered. ? 1 :
<div style="text-align: right; direction: ltr; margin-left: 1em;">Signature & Name of the Registrar. </div>
Signature & Name of the Registrar. ~
Dated<br>
. .. Submitted to the Chief Registrar/District Registrar.
Submitted to the Chief Registrar/District Registrar.
FORMNO. 13 [See Rule 14 SUMMARY MONTHLY REPORT OF STILL BIRTHS Report for the Month of........... УеaГ.............. District: Town/Village: Registration Unit: 5. Number of Still Births Registered" * Number of Still Births Registered should be equal to the number of Still Birth Report Forms (Form No. 3) attached with this monthly report. Signature & Name of the Registrar. Dated: , Submitted to the Chief Registrar/District Registrar.
 
?
<center>'''FORM NO. 13</center><br>
<center>[See Rule 14]</center><br><center>'''SUMMARY MONTHLY REPORT OF STILL BIRTHS'''</center><br>
1.Report for the Month of........... Уear..............<br>2. District: <br>3.Town/Village:<br>4. Registration Unit<br>5. Number of Still Births Registered<br>Number of Still Births Registered should be equal to the number of Still Birth Report Forms (Form No. 3) attached with this monthly report. <div style="text-align: right; direction: ltr; margin-left: 1em;">Signature & Name of the Registrar</div><br>Dated: <br> Submitted to the Chief Registrar/District Registrar.
 
  {{Create}}
  {{Create}}

Latest revision as of 12:21, 24 January 2019

Total (a+b)

Total should be equal to the number of Birth Report Forms (Form No. 2) attached with this monthly report.

Signature & Name of the Registrar


Dated:

Submitted to the Chief Registrar/District Registrar.

FORM No. 12
[See Rule 14]
SUMMARY MONTHLY REPORT OF DEATHS


1. Report for the Month of....... Уеar...........
2. District:
3. Town/village:
4. Registration Unit:
5. Details of Deaths Registered during the Month:

Death
Registered within one year of occurrence Registered after on year of occurrence Total Infant Deaths Maternal deaths
1 2 3 4 5

Maternal Deaths Registered Registered Totar Infant Deaths within one after one year of year of occurrence (1) (2) (3) (4) (5) Note:- Infant Material Deaths should also be included in the Deaths.
The Number of Statistical Reporting Form (Form No. 4) attached should be equal to the number of deaths registered.

Signature & Name of the Registrar.

Dated
Submitted to the Chief Registrar/District Registrar.

FORM NO. 13


[See Rule 14]


SUMMARY MONTHLY REPORT OF STILL BIRTHS


1.Report for the Month of........... Уear..............
2. District:
3.Town/Village:
4. Registration Unit
5. Number of Still Births Registered
Number of Still Births Registered should be equal to the number of Still Birth Report Forms (Form No. 3) attached with this monthly report.

Signature & Name of the Registrar


Dated:
Submitted to the Chief Registrar/District Registrar.


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