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”
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”
కామెంట్లు లేవు:
కామెంట్ను పోస్ట్ చేయండి