Panchayat:Repo18/vol2-page0411: Difference between revisions
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Address of the deceased at the time of death Permenant address of deceased | Address of the deceased at the time of death Permenant address of deceased | ||
............................................................. .......................................................... | ............................................................. .......................................................... | ||
രജിസ്ട്രേഷൻ നം/Registration No........... രജിസ്ട്രേഷൻ തീയതി/Date of Registration................... | രജിസ്ട്രേഷൻ നം/Registration No........... രജിസ്ട്രേഷൻ തീയതി/Date of Registration................... | ||
Remarks (if any) ............................. | Remarks (if any) ............................. | ||
നൽകുന്ന തീയതി/ Date if Issue..........................................<br> | നൽകുന്ന തീയതി/ Date if Issue..........................................<br> | ||
<center>നൽകുന്ന അധികാരിയുടെ ഒപ്പ്/ Signature of the issuing authority.................................</center><center>നൽകുന്ന അധികാരിയുടെ മേൽവിലാസം / Address of the issuing authority</center><center>സീൽ/SEAL "Ensure registration of every birth and death" ഓരോ ജനനവും മരണവും രജിസ്റ്റർ ചെയ്തുവെന്ന് ഉറപ്പുവരുത്തുക FORM No. 7 See Rule 12 | <center>നൽകുന്ന അധികാരിയുടെ ഒപ്പ്/ Signature of the issuing authority.................................</center><center>നൽകുന്ന അധികാരിയുടെ മേൽവിലാസം / Address of the issuing authority................................</center><center>സീൽ/SEAL </center><center>"Ensure registration of every birth and death"</center><center> ഓരോ ജനനവും മരണവും രജിസ്റ്റർ ചെയ്തുവെന്ന് ഉറപ്പുവരുത്തുക</center><center>''' FORM No. 7 '''</center><center>[See Rule 12]</center> <center>'''BIRTH REGISTER'''</center><center>'''BIRTH REPORT'''</center><center> Legal information</center> Form No. 1 <br><center>This part to be added to the Birth Register</center> | ||
BIRTH REPORT Legal information Form No. 1 This part to be added to the Birth Register To be filled by the informant 1. 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 abbreviation) | To be filled by the informant | ||
1. Date of Birth: (Enter the exact day, month and year the child was born e.g. 1.1.2000) | |||
3. Name of the child, if any: (if not named, leave blank) 4. Name of the father: (Full name as usually written) 5. Name of the mother: (Full name as usually written) "5A. Permanent address of the parents 5B. Address of the parents at the time of birth of the child | 2.Sex: (Enter "Male or 'Female, do not use abbreviation) | ||
and give the name of the Hospital/Institution or the address of the house where the birth took-place) | 3. Name of the child, if any: (if not named, leave blank) | ||
1. Hospital/ Name: Institution 2. House Address: 7. Informant's name: Address: | 4. Name of the father: (Full name as usually written) | ||
5. Name of the mother: (Full name as usually written) " | |||
5A. Permanent address of the parents | |||
5B. Address of the parents at the time of birth of the child | |||
6. Place of birth: (Tick the appropriate entry 1 or 2 below | |||
and give the name of the Hospital/Institution or the address <br>of the house where the birth took-place) | |||
1. Hospital/ Name:<br>Institution | |||
2. House        Address: | |||
7. Informant's name: Address: | |||
(After completing all columns 1 to 20, informant will put date and signature here.) | (After completing all columns 1 to 20, informant will put date and signature here.) | ||
Date: Signature of left thumb marks of the informant | Date: Signature of left thumb marks of the informant | ||
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To be filled by the Registrar | To be filled by the Registrar | ||
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{{Create}} | {{Create}} |
Revision as of 11:10, 24 January 2019
മാതാവിന്റെ പേര്/Name of Mother ....................................... . . . . . . . . . . . . . . . . . . . . . . . . . .പിതാവിൻറെ /ഭർത്താവിൻറെ പേര്/ Name of Father/Husband................................... മരിച്ച വ്യക്തിയുടെ മരണസമയത്തെ മരിച്ച വ്യക്തിയുടെ സ്ഥിരമായ മേൽവിലാസം മേൽവിലാസം
Address of the deceased at the time of death Permenant address of deceased
............................................................. ..........................................................
രജിസ്ട്രേഷൻ നം/Registration No........... രജിസ്ട്രേഷൻ തീയതി/Date of Registration...................
Remarks (if any) .............................
നൽകുന്ന തീയതി/ Date if Issue..........................................
Form No. 1
To be filled by the informant
1. Date of Birth: (Enter the exact day, month and year the child was born e.g. 1.1.2000) 2.Sex: (Enter "Male or 'Female, do not use abbreviation) 3. Name of the child, if any: (if not named, leave blank) 4. Name of the father: (Full name as usually written) 5. Name of the mother: (Full name as usually written) " 5A. Permanent address of the parents 5B. Address of the parents at the time of birth of the child
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:
7. Informant's name: Address:
(After completing all columns 1 to 20, informant will put date and signature here.) Date: Signature of left thumb marks of the informant
To be filled by the Registrar
ഈ താൾ 2018 -ലെ പഞ്ചായത്ത് റെപ്പോ നിർമ്മാണം യജ്ഞത്തിന്റെ ഭാഗമായി സൃഷ്ടിച്ചതാണ്. |