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2 · Amendment of Forms No.I, 2 and 3 under rule 5_ For Form No. | (Birth Report) , Form No. 2 (Death Report) and Form No. 3 (Still Birth Rcport) under rule 5 of the Delhi Registration of Births and Deaths Rules, 1999 (hereinafter refcrred t0 as the Principal Rules") appended to the rules, the following shall be substituted, namely: 4e48 D21t-1

18 · Numher of children born alive t0 the mother so far including thls chil (Nuinset of children born alive t0 include also those from earlier manige(s) . if any) 19. Type of attention at delivery (Tick the appropriale entry below)

1 · 1 1 3 V 1 } 1 1

20 · Mclhod of Delivery :(Tick the appropriate entry below) 1. Nalurl 2Cucsarcan 3.FForccps Vacuum

22 · Durtic n of prcgnancy (in wecks):

1 · 2

1 · 3

15 · Mas the cause of death medicall, certified % (Tict ILTown or Village of Residencc of thc dcceased (Place whcrc thel Fhe appropriatc cntry below) (deceased actually lived This can be different from the place where ihe] Yes 2 No death occured The house address IS not required t0 be entered 16 Name of Discase or Actual Cause of Death (For all Ideaths Imespective of whether medically certilied or nol} Ia) Name 0f Town Villagc Ib) Is ir a tOwn or village : (Tick the appropriete entry below) In case this Is female deuth: did thc dcath occur whilc I,Town Village pregnant; at the time of delivery or #ithin 6 #ccks #fter the end of pregnancy: ( Tick the appropriat? enlry below) c) Namc of District Id) Namc of Statc 1, Yes 2 No

12 · (Religion (Tick the appropriate cntry bclow ) LHindu 2Musllm 3. Christian 4Any other rcligion :(write name of the religion)

18 · If uscd t0 hablually smokc- for how many ycars

1 · 1 1 { 1 1 [ { 1 1

50 · Nare of husbandrwife UID No of husband/wile (ifany

19 · Wfused to hahitually chcw tobacco in in an, form for how man; Yeart

20 · fused (0 habitually chcw arecanut in any

2 · (If uscd to babitually drink alcohol- for hox many veurs

1 · 1 1 1 { 1 1 1 { 1 [

3 · .A(mendnnt in !ule IU. In thic Frmcifal Rules Tot sul; ~FUic ()mfrake |0 Il' iking shal; bc subsli!utce namel i0 Fetiod {or addition of name i# the register - (I) Where the burth 0l #' child had been tegistered without 4 mamC. ihe pareni o guanhan a such chilc shall, within Awelve moiths Wroni the datc 0f regisration of the binh of child, give informatiog regarding the marne Of child t0 the Registrar either orally or in writing Provided Ilat {f the information is given afier the aforesaid period of twelve morths bui within period of iwenty years, which shall be reekoned: In case where the registralion had been made prior I0 the |st Jay 0l' January. 2000: further five years period with eflect from the Ist day of January, 2045 shall be given. In respect of those cases, where 15 years period from the date of registration has not yet been completed. they shall be allowed t0 avail the 15 rears period, or In case where the registration is made after (he date of commencemert of the Delhi Registration of Births and Deaths (Amendment) Rules 2014 the period of i5 years from the date of such registra Ition , subject t0 the provisions 0f sub-section (4) of section 23,the Registrar shall- if the register is in Registrar'$ possession forthwith enter the name in the relevant column of the concerned fOrm in the birth register 0n payment of a late fee of rupees five, b. if the register is not in Registrar' $ possession and if the information is givcn orally, make a report giving necessary parliculars, and if the information is given in writing forward the sarne t0 the officer specified by the State Gcvernment in this behalf for making the necessary entry on payment of a late fee of rupees five.