Male Female (Enter the exact day, month and year the child 2. Sex: (Select "Male" or "Female" ) Name of the child, if any: 3. (If not named, leave blank) Name of the Father: 4. (Full name as usually written) Name of the Mother: 5. (Full name as usually written) Place of Birth: (Tick the appropriate entry 1 or 2 below and give the name of the 6. Hospital/Institution or the address of the house where the birth took place) 1. Name of Hospital/Institution: 2. House Address: 7. Informant's Name: Address: (After completion of this section's information, informant will put date and signature here) Date: Signature or left thumb mark of the Informant Published on National Portal of India (india.gov.in) APPLICATION FORM FOR BIRTH REGISTRATION (See Rule 12) FORM No.7 FORM No.1 BIRTH REPORT Legal Information This part to be added to the Birth Register To be filled by the informant Date of Birth: I. Name of the Registrar: Signature of the Registrar Published on National Portal of India (india.gov.in) To be filled by the Registrar Date: Registration No. Registration Unit: District: Town / Village: Remarks: (if any)
