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Tuvalu Consolidated Legislation - 2008 Edition |
LAWS OF TUVALU
2008 REVISED EDITION
CAP. 17.10.1
BIRTHS, DEATHS AND MARRIAGES
(PRESCRIPTION OF FORMS AND SEAL)
REGULATIONS
BIRTHS, DEATHS AND MARRIAGES REGISTRATION ACT[1]
______________________________________________________________________________
1 Citation
These Regulations may be cited as the Births, Deaths and Marriages (Prescriptions of Forms and Seal) Regulations.
2 Forms
The forms set out in Schedule 1 shall be the forms to be used in the cases to which they refer for the purposes of the Births, Deaths and Marriages Registration Act.
3 Seal
The seal described in Schedule 2 shall be the seal of the General Registry Office and an impression of it made with ink by means of a wooden block shall constitute a sufficient sealing.
SCHEDULE 1
FORM 1 [s. 20 (1) (b)]
DECLARATION AS TO STILL-BIRTH
I ............................................., do solemnly and sincerely declare that no medical practitioner or midwife was present
at the birth of the child of ..............................., nor has a medical practitioner or midwife examined the body, and that
a certificate of a medical practitioner or midwife cannot be obtained, but that the child which was born on the day of , 20 , was
not born alive.
Dated the day of , 20 .
................................................
Informant
Before me
..................................................
Magistrate/Island Magistrate
FORM 2 [s. 2.0 (2)]
CERTIFICATE OF REGISTRATION OF STILL-BIRTH
I do hereby certify that I have this ...........day of ..............................................., 20 ......., registered the birth of the child of ................................., which child was not born alive as evidenced by—
*(a) the certificate of
(medical practitioner/midwife)
Dated the day of , 20 .
*(b) the declaration made by
(name of declarant)
Dated the day of , 20 .
.............................................
Registrar for (name of district)
*Delete whichever is not applicable
FORM 3 [s. 21]
CERTIFICATE OF REGISTRATION OF BIRTH
(District of | ) |
Name of child
Sex
Date of birth
Date registered
Name of mother
Address at birth
Signature of Registrar
COUNTERFOIL | FORM 4 [s. 30 (1)] | ||||||
| | ||||||
Name of Deceased......... | | | | ||||
Age............................ | MEDICAL CERTIFICATES OF THE CAUSE OF DEATH | ||||||
Last seen ...................... | | | | ||||
Died on ....................... | I HEREBY CERTIFY that I attended .......................................during the last illness, that such person's age was stated
to be that I last saw h.... on the .........day of ................19......., that.......................*died ....................on
the .......day of ............. 19........... at .................................and that, to the best of my knowledge and belief
the cause of h.... death was as hereunder written. | ||||||
At............................... | | | | ||||
Deceased's Address | *Should the medical attendant feel justified in taking upon himself the responsibility of certifying the fact of death, he may here
insert the words* as I am informed" ______________________________________________________ | ||||||
| CAUSE OF DEATH | | Approximate interval between onset and death | ||||
CAUSE OF DEATH | ______________________________________________________ | ||||||
| I. Disease or condition directly leading to death† | (a) ................................. due to (or as a consequence of) | ................................. | ||||
(a) .............................. due to (or as a consequence of) | | | | ||||
| Antecendent causes Morbid conditions, if any giving rise to the above cause, stating the under-lying conditions last | (b)........................ due to (or as a consequence of) | .................. | ||||
(b) .............................. due to (or as a consequence of) | ______________________________________________________ | ||||||
| II. Other significant conditions contributing to the death, but not related to the disease or condition causing it. | (c).................................. | .................. | ||||
(c) ............................... Other significant conditions ................................... | ______________________________________________________ †This does not mean the mode of dying e.g., heart failure, asthenis, etc. It means the disease, injury, or complication which caused death ______________________________________________________ | ||||||
| Deceased's address | ......... | Date, the ..... day of ........... | ||||
Signed ......................... | Deceased's place of death | ......... | Signature ........................... | ||||
Date.............................. | | | Registered qualification............ | ||||
| | | | ||||
| N.B., THIS CERTIFICATE IS INTENDED SOLELY FOR THE USE OF THE REGISTRAR |
FORM 5 [s. 30 (2)]
NOTICE OF THE SIGNING OF THE CERTIFICATE OF CAUSE OF DEATH
To:
(Informant)
This is to notify that I have this ...........day of ....................................................., 20, signed the medical certificate of the cause of death of
(name of deceased)
...................................................
Medical Practitioner
FORM 6 [s. 34 (a)]
CERTIFIED COPY OF ENTRIES IN BIRTHS REGISTER
REGISTRATION | Name if added after registration | | | | I, ......................................................., do hereby certify that the above is a true copy of entries made by me
in the Births Register at .....................(District) for the period 1st .............. to 30/31st ............... 19........† Extracted this ...............day of ....................19........... | ................................... Registrar | * Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration
Ordinance in moths of January/April/July/October as appropriate. †To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December. |
When and where notified | | | | ||||
INFORMANT | Name, Occupation and place of residence | | | | |||
PARENTS | MOTHER | Birth Place | | | |||
Age | | | |||||
Name | | | |||||
FATHER | Previous ISsue Living and deceased | | | ||||
When and where married | | | |||||
Birth Place | | | |||||
Age | | | |||||
Occupation | | | |||||
Name | | | |||||
CHILD | Sex | | | | |||
Name | | | | ||||
Where Born And when If still-born State in this column | | | | ||||
NO. | | | 1. |
FORM 7 [s.34(a)]
CERTIFIED COPY OF ENTRIES IN THE DEATHS REGISTER
Issue in order of births, the names and ages | | | I, ......................................................., do hereby certify that the above is a true copy of entries made by me
in the Deaths Register at .....................(District) for the period 1st .............. to 30/31st ............... 19........† Extracted this ...............day of ....................19........... | ................................... Registrar | * Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration
Ordinance in moths of January/April/July/October as appropriate. †To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December. |
Was deceased ever married? If so state when and to whom | | | |||
Where born and how long in Tuvalu | | | |||
When buried and where | | | |||
Name, occupation and place of residence of informants | | | |||
Name of Mother | | | |||
Occupation of Father | | | |||
Name of Father | | | |||
When he last saw deceased | | | |||
Medical Practitioner by whom certified | | | |||
Duration of last illness | | | |||
Cause of Death | | | |||
Age | | | |||
Sex | | | |||
Date of Death and where it occured | | | |||
NO. | 1. |
FORM 8 [s. 34(a)]
CERTIFIED COPY OF THE ENTRIES IN THE MARRIAGES REGISTER
PARTICULARS OF MARRIAGE | Witness of Marriage | | | | | I, ......................................................., do hereby certify that the above is a true copy of entries made by me
in the Deaths Register at .....................(District) for the period 1st .............. to 30/31st ............... 19........† Extracted this ...............day of ....................19........... | * Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration
Ordinance in moths of January/April/July/October as appropriate. †To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December. |
By whom performed | | | | | |||
Place of Marriage | | | | | |||
Date of Marriage | | | | | |||
PARTICULARS OF PARTIES | Father's name, occupation and place of Birth | | | | | ||
Condition | | | | | |||
Place of Residence at time of marriage | | | | | |||
Age | | | | | |||
Occupation | | | | | |||
Name | Husband | Wife | Husband | Wife | |||
NO. | | 1. |
FORM 9 [s. 34 (b)]
CERTIFICATE OF NIL RETURN* OF ENTRIES IN THE †BIRTHS, DEATHS AND
MARRIAGES REGISTERS
I,, do hereby certify that no †birth/death/marriage was registered by me in .....................for the period 1st .........................to 30/31st ....................., 20
(District)
.........................................................
Registrar
*To be furnished quarterly.
†Delete whichever is inapplicable.
SCHEDULE 2
[s. 40 (5)]
SEAL OF GENERAL REGISTRY OFFICE
TUVALU ----------------------------- GENERAL REGISTRY OFFICE |
ENDNOTE
___________________
1 LN 56/1968
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