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Remarks: (if any): <br>
Remarks: (if any): <br>
<div style="text-align: right; direction: ltr; margin-left: 1em;">Name and Signature of the Registrar</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;">Name and Signature of the Registrar</div>
<center>'''FORM No. 10'''</center><center>[See Rule 13]</center><center>'''NON-AVAILABILITY CERTIFICATE'''</center><center> (issued under Section 17 of the Registration of Births & Deaths Act, 1969)</center> This is to certify, that search has been made on the request of Shri/Smt/Kum........................son/ wife/daughter of.......................... in the registration records for the year(s)........................ relating to (Local area)................................................................................................. of (Tahsil)..................................................................................................................................................... of (District)................................................. of (State)...................................................... and found that the event relating to the birth/death of .................................. Son/ daughter of........................................ was not registered. <br>Date........................................ &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Signature of issuing authority <br><div style="text-align: right; direction: ltr; margin-left: 1em;">Seal</div><center>'''FORM No. 11'''</center><br>
<center>'''FORM No. 10'''</center><center>[See Rule 13]</center><center>'''NON-AVAILABILITY CERTIFICATE'''</center><center> (issued under Section 17 of the Registration of Births & Deaths Act, 1969)</center> This is to certify, that search has been made on the request of Shri/Smt/Kum........................son/ wife/daughter of.......................... in the registration records for the year(s)........................ relating to (Local area)................................................................................................. of (Tahsil)..................................................................................................................................................... of (District)................................................. of (State)...................................................... and found that the event relating to the birth/death of .................................. Son/ daughter of........................................ was not registered. <br>Date........................................ &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Signature of issuing authority <br><div style="text-align: right; direction: ltr; margin-left: 1em;">Seal</div><center>'''FORM No. 11'''</center><br><center>[See Rule 14]</center>
<center>[See Rule 14]</center>
<center>'''SUMMARY MONTHLY REPORT OF BIRTHS'''</center><br>1. Report for the Month of....... year.......... <br>2.District: <br>3.Town/village: <br> 4.Registration Unit:<br>5. Number of Births Registered:<br> (a) Within one year of their Occurrence:<br> (b) After one year of their Occurrence:
<center<'''SUMMARY MONTHLY REPORT OF BIRTHS'''</center><br>1. Report for the Month of....... year.......... <br>2.District: <br>3.Town/village: <br> 4.Registration Unit:<br>5 Number of Births Registered: (a) Within one year of their Occurrence:<br> (b) After one year of their Occurrence:
{{Create}}.
{{Create}}.

Latest revision as of 12:03, 24 January 2019

(Enter the exact day, month and year e.g. 1.1.2000)
2. Sex: (Enter "Male' or 'Female' do not use abbreviation)
3. Name of the father: (Full name as usually written)
4. Name of the mother:(Full name as usually written)
5. 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)
1. Hospital/                Name:
Institution
2. House                Address:
6. Informant's name:
Address: (After completing all columns
1 to 12 informant will put date
and signature here.)
Date:                                                                                                                                                              Signature or left thumb mark of the informant


To be filled by the Registrar

Registration No.                                                                                         Registration
Date:
Registration Unit:
Town/Village:                                                                                         District:
Remarks: (if any):

Name and Signature of the Registrar
FORM No. 10
[See Rule 13]
NON-AVAILABILITY CERTIFICATE
(issued under Section 17 of the Registration of Births & Deaths Act, 1969)

This is to certify, that search has been made on the request of Shri/Smt/Kum........................son/ wife/daughter of.......................... in the registration records for the year(s)........................ relating to (Local area)................................................................................................. of (Tahsil)..................................................................................................................................................... of (District)................................................. of (State)...................................................... and found that the event relating to the birth/death of .................................. Son/ daughter of........................................ was not registered.
Date........................................                                                                   Signature of issuing authority

Seal
FORM No. 11


[See Rule 14]
SUMMARY MONTHLY REPORT OF BIRTHS


1. Report for the Month of....... year..........
2.District:
3.Town/village:
4.Registration Unit:
5. Number of Births Registered:
(a) Within one year of their Occurrence:
(b) After one year of their Occurrence:

വർഗ്ഗം:റെപ്പോയിൽ സൃഷ്ടിക്കപ്പെട്ട ലേഖനങ്ങൾ.