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('page 413 THE REGISTRATION OF BIRTH & DEATH RULES, 1999 ''''''FORM - 11'''''' (Enter the exact day, month and year e.g....' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു)
 
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THE REGISTRATION OF BIRTH & DEATH RULES, 1999


''''''FORM - 11''''''
(Enter the exact day, month and year e.g. 1.1.2000) <br>2. Sex: (Enter "Male' or 'Female' do not use abbreviation)<br> 3. Name of the father:
 
(Full name as usually written)<br> 4. Name of the mother:(Full name as usually written)<br>
(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:
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)<br>
(Full name as usually written) 4. Name of the mother:
1. Hospital/&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Name:<br> Institution<br> 2. House&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Address: <br>6. Informant's name: <br>Address:
(Full name as usually written)
(After completing all columns <br>1 to 12 informant will put date <br>and signature here.)<br>
5. Place of birth: (Tick the appropriate entry below and give the name of the Hosptial/ Institution or the address of the house where the birth took place)
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;&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;&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 or left thumb mark of the informant<br>
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.)
<center> To be filled by the Registrar</center>
Date: Signature or left thumb mark of the informant To be filled by the Registrar
Registration No. Registration<br> Date:
Registration No. Registration Date:
Registration Unit:
Registration Unit:
Town/Village: District:
Town/Village: District:

Revision as of 11:53, 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 Report for the Month of....... year.......... District: Town/village: Registration Unit: Number of Births Registered: (a) Within one year of their Occurrence: (b) After one year of their Occurrence:

വർഗ്ഗം:റെപ്പോയിൽ സൃഷ്ടിക്കപ്പെട്ട ലേഖനങ്ങൾ.