FORM No.7 (See Rule 12) BIRTH REGISTER FORM No.1 BIRTH REPORT Legal Information This part to be added to the Birth Register To be filled by the informant I. Date of Birth: (Enter the exact day, month and year the child was born e.g. 1-1-2000) 2. Sex: (Enter "male" or "female" ; do not use abbreviation) 3. Name of the child, if any: (If not named, leave blank) 4. Name of the father: (Full name as usually written) 5. Name of the mother: (Full name as usually written) 6. Place of birth: (Tick the appropriate entry 1 or 2 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: 7. Informant's name: Address: (After completing all columns 1 to 20, informant will put date and signature here) Date: Signature or left thumb mark of the informant To be filled by the Registrar Registration No. : Registration Date: Registration Unit: Town/Viliage: District: Remarks: (if any) Name and signature of the Registrar
