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Application Not For Sale

GREATER HYDERABAD IIIUNICIPAT CORPORATIOT{

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APPLIGATION FOR BIRTH CERTIFICATE

(Write in Capital Letters)
CIRCLE / LOCALITY:

't.

Date of Birth

2.

Sex

3.

Child Name

a)

lf Registered Mention the Child name

b)

lf child Name not included a separate form to be filled by the Father and Mother of the Child.

4.

Name of the Father

5.

Name of the Mother

6.

Place of Birth

:
:

(Tick the appropriate entry a, b, c below and give the name of the Hospital/lnstittue or the
Address of the House where the Birth took place. lf other place give location).

a)
b)
c)
.
8.
7

Hospital / lnstitution Name

House Address

Other Place:
No. of Copies Required

Mobile No.

[T]

--I--[t

Name & Address

Signature of the Applicant

records'
Note:- Birth Certificate will be issued subject to entry found Registered with GHMC

eSeva Transaction No

eSeva Transaction Date

REGISTRATION OF BIRTHS AND DEATHS ACT, 1969

The Registration of Births and Deaths Act has made reponing and registration
deaths compulsory. Some of the inrportant provisions of the Act arc giren belolr,.

ofbirths and

Reporting of Births and Deaths :

Births and deaths arc to bc re'ported to the Registrar of Births and Dcaths appointcd by the
State Govemment, lor registration. Births and Deaths are registered only at the place of occurence.
The person responsiblc for reporting evcnts fbr registration depends on the placc ofoccurrence ofthe
event. as shorvn bclow.

Place of occurrence

Person responsible

for reporting (infurmmt)

Ho LI SE

Head of the household or iu his absence, his nearest

relative or an adult male person.

Hospital, nursing honre, matcrnily

horne, health centrc, etc.

Medical Ofl'icer in chargc or any prson authorizcd

by him in his behalf

Jail

Jailor in charge

Iostel, choultry, chattram. dharamshala.

boarding house, lodging house, etc.

Person in charge

New bom baby or dead body found in

public place

Village headrnan or corrcssponding officer in village

and police station in charge in other arcas

How to report?
Al vital events. i.e.. tive births. still births and deaths are to be reponed int he fonns prcscribed
by the State Govemment. These are Form I - Birth Report, Form 2 - Death Report and Form - 3 Still Birth Report.
The informatin has to be given under the siganture/thumb impression of the informant. Name
as below.

ofthe registered on completion ofcertain fonnalities

When to report

Al events are to be reported within 2l days of its occurrence. Events reported later than
days can registered on completion ofcertain formalities as below.
When reported

Fonnalities to be completed

Aftcr 2l days but within 30 days

of occurrence
After 30 days but within onc
year of occurrence

Payment of the presribed late f'ee

After one year ofoccurrence

2l

An affi davit made before a notary public or the officerprescribed

by the State Govemment on this behalf, payment of late fee
and
ission ol thc rescribed authori
Order of a first class ma gistrate and payment of late fee.

certificates : on Registration oran event reported within 2l days a certificate

is issued frec of
charges. Additional ceftificates can be obtained on payment ofa
nominal
fee.