Panchayat:Repo18/vol2-page0414

414

THE REGISTRATION OF BIRTH & DEATH RULES, 1999

FORM - 12

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....... УеaГ........... 2. District: 3. Town/village: 4. Registration Unit: 5. Details of Deaths Registered during the Month: Deaths 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. ? 1 : Signature & Name of the 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. ?

ഈ താൾ 2018 -ലെ പഞ്ചായത്ത് റെപ്പോ നിർമ്മാണം യജ്ഞത്തിന്റെ ഭാഗമായി സൃഷ്ടിച്ചതാണ്.