Panchayat:Repo18/vol2-page0413
(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
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:
ഈ താൾ 2018 -ലെ പഞ്ചായത്ത് റെപ്പോ നിർമ്മാണം യജ്ഞത്തിന്റെ ഭാഗമായി സൃഷ്ടിച്ചതാണ്. |