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THE REGISTRATION OF BIRTH & DEATH RULES, 1999 | |||
FORM - 5 | |||
''' | |||
Completeness of information.'''- A complete case history is not wanted, but, if the information is available, enough details should be given to enable the underlying cause to be properly classified. | |||
''' | |||
Example.- Anaemic-Give type of anaemia, if known, Neoplasms-Indicate whether benign or malignant, and site, with site of primary neoplasm, whenever possible, Heart disease-Describe the condition specifically; if congestive heart failure, chronic on pulmonale, etc., are mentioned, give the antecedent conditions. Tetanus-Describe the antecedent injury, if known. Operation-State the condition for which the operation was performed. Dysentry-Specify whether bacillary, amoebic, if known. Complications of pregnancy or delivery-Describe the complication specifically Tuberculosis-Give organs affected. | Example.'''- Anaemic-Give type of anaemia, if known, Neoplasms-Indicate whether benign or malignant, and site, with site of primary neoplasm, whenever possible, Heart disease-Describe the condition specifically; if congestive heart failure, chronic on pulmonale, etc., are mentioned, give the antecedent conditions. Tetanus-Describe the antecedent injury, if known. Operation-State the condition for which the operation was performed. Dysentry-Specify whether bacillary, amoebic, if known. Complications of pregnancy or delivery-Describe the complication specifically Tuberculosis-Give organs affected. | ||
Symptomatic Statement.- Convulsions, diarrhoea, fever, ascites, jaundice, debility etc., are symptoms which may be due to any one of a number of different conditions. Sometimes nothing more is known, but whenever possible, give the disease which caused the symptom. | '''Symptomatic Statement.'''- Convulsions, diarrhoea, fever, ascites, jaundice, debility etc., are symptoms which may be due to any one of a number of different conditions. Sometimes nothing more is known, but whenever possible, give the disease which caused the symptom. | ||
"FORM NO. 5 See Rule. 8) | |||
"FORM NO. 5 | |||
( See Rule. 8) | |||
നമ്പർ................ . Form - 5 | |||
No....................... | |||
കേരള സർക്കാർ | |||
GOVERNMENT OF KERALA | |||
പഞ്ചായത്ത്/നഗരകാര്യ വകുപ്പ | |||
DEPARTMENT OF PANCHAYATS/URBAN AFFAIRS സർട്ടിഫിക്കറ്റ് നൽകുന്ന തദ്ദേശ സ്ഥാപനത്തിന്റെ പേര് ............. | |||
Name of local body issing certificate......................................... | |||
ജനന സർട്ടിഫിക്കറ്റ് | |||
Birth Certificate | |||
(1969-ലെ ജനന-മരണ രജിസ്ട്രേഷൻ ആക്ടിലെ 12/17 വകുപ്പും 1999-ലെ കേരള ജനനമരണ രജിസ്ട്രേഷൻ ചട്ടങ്ങളിലെ 8/13-ാം ചട്ടവും അനുസരിച്ച് നൽകുന്നത്. | |||
(Issued under Section 12/17 of the Registration of Births and Deaths Acts, 1969 and Rule 8/13 of the Kerala Registration of Births and Deaths Rules, 1999. ) | |||
താഴെ പറയുന്ന വിവരങ്ങൾ കേരള സംസ്ഥാനത്തിലെ ........................ ജില്ലയിലെ ...........................താലൂക്കിലെ ......................... . ലെ (തദ്ദേശ സ്ഥാപനം) അസ്സൽ ജനന രജിസ്റ്ററിൽ നിന്ന് എടുത്തിട്ടുള്ളവയാണെന്ന് സാക്ഷ്യപ്പെടുത്തുന്നു. | |||
This is to certify that the following information has been taken from the original record of birth which is the register for (local areas local body)....................... of Taluk ............................. of District ............................... of State Kerala. | |||
പേര് /Name ................................. ആൺ/പെൺ/Sex | |||
Date of Birth..................................... ജനന സ്ഥലം/Place Of Birth | |||
മാതാവിൻറെ പേര്/ Name of Mother,...,.......................... | |||
പിതാവിൻറെ പേര്/ Name ofFather ................................ | |||
{{Create}} | {{Create}} | ||
Revision as of 06:11, 6 January 2018
409
THE REGISTRATION OF BIRTH & DEATH RULES, 1999
FORM - 5
Completeness of information.- A complete case history is not wanted, but, if the information is available, enough details should be given to enable the underlying cause to be properly classified.
Example.- Anaemic-Give type of anaemia, if known, Neoplasms-Indicate whether benign or malignant, and site, with site of primary neoplasm, whenever possible, Heart disease-Describe the condition specifically; if congestive heart failure, chronic on pulmonale, etc., are mentioned, give the antecedent conditions. Tetanus-Describe the antecedent injury, if known. Operation-State the condition for which the operation was performed. Dysentry-Specify whether bacillary, amoebic, if known. Complications of pregnancy or delivery-Describe the complication specifically Tuberculosis-Give organs affected. Symptomatic Statement.- Convulsions, diarrhoea, fever, ascites, jaundice, debility etc., are symptoms which may be due to any one of a number of different conditions. Sometimes nothing more is known, but whenever possible, give the disease which caused the symptom.
"FORM NO. 5
( See Rule. 8)
നമ്പർ................ . Form - 5
No.......................
കേരള സർക്കാർ
GOVERNMENT OF KERALA
പഞ്ചായത്ത്/നഗരകാര്യ വകുപ്പ
DEPARTMENT OF PANCHAYATS/URBAN AFFAIRS സർട്ടിഫിക്കറ്റ് നൽകുന്ന തദ്ദേശ സ്ഥാപനത്തിന്റെ പേര് .............
Name of local body issing certificate.........................................
ജനന സർട്ടിഫിക്കറ്റ്
Birth Certificate
(1969-ലെ ജനന-മരണ രജിസ്ട്രേഷൻ ആക്ടിലെ 12/17 വകുപ്പും 1999-ലെ കേരള ജനനമരണ രജിസ്ട്രേഷൻ ചട്ടങ്ങളിലെ 8/13-ാം ചട്ടവും അനുസരിച്ച് നൽകുന്നത്.
(Issued under Section 12/17 of the Registration of Births and Deaths Acts, 1969 and Rule 8/13 of the Kerala Registration of Births and Deaths Rules, 1999. )
താഴെ പറയുന്ന വിവരങ്ങൾ കേരള സംസ്ഥാനത്തിലെ ........................ ജില്ലയിലെ ...........................താലൂക്കിലെ ......................... . ലെ (തദ്ദേശ സ്ഥാപനം) അസ്സൽ ജനന രജിസ്റ്ററിൽ നിന്ന് എടുത്തിട്ടുള്ളവയാണെന്ന് സാക്ഷ്യപ്പെടുത്തുന്നു.
This is to certify that the following information has been taken from the original record of birth which is the register for (local areas local body)....................... of Taluk ............................. of District ............................... of State Kerala. പേര് /Name ................................. ആൺ/പെൺ/Sex Date of Birth..................................... ജനന സ്ഥലം/Place Of Birth
മാതാവിൻറെ പേര്/ Name of Mother,...,.......................... പിതാവിൻറെ പേര്/ Name ofFather ................................
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