శనివారం, సెప్టెంబర్ 17, 2011

LIVE BIRTH REPORT

LIVE BIRTH REPORT
FORM 2
(SEE RULE - 5)
APPLICATION UNDER SUBSECTIN (1) OF SECTION 7-A UNDER
SUBSECTIN (1) OF SECTION 8 OF THE ACT.
To
Registration Unit/Villages/Town /Municipality/Taluk/Tahsil/Block/Thana . . . . . . . .
District.
1. Date Of Birth
2. Sex Male/Female
3. Name Of Child
4. Place Of Birth
5. Permanent Residential Address
6. Father’s
I. Name
II. Literacy
III. Occupation
IV. Nationality
V. Religion
7. Mother’s
I Name
II Literacy
III Occupation
IV Nationality
V Religion
8. Age of mother in completed years at confinement
9. Order of birth
(Number of live-births including the birth registered)
10. Type of attention at delivery
11. Informant’s
I. Name
II. Address
Date:-
Signature of the thumb mark of the informant.
Note: - If the person is non-worker, insert the word “Nil” in the column for occupation
􀂃 If the delivery took place in Hospital or any other institution write “Hospital or Institution giving its name, other wise give full postal address of the place of birth
􀂃 If the delivery was conducted in a hospital or maternity home write the name of institution otherwise mention whether it was conducted by a qualified or unqualified mid-wife and give her names.
􀂃 In the case of illegitimate birth the word “illegitimate should be entered in”

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