526
FORM No. 15.
Declaration as to still-birth.
day of
[s. 18 (2).]
no registered
I, A.B., do solemnly and sincerely declare that medical practitioner was present at the birth of the child of Mrs. C.D. which occurred on the
19... > [or that Mr. E.F., registered medical practitioner, was present at the birth of the child of Mrs. C.D, which occurred on the day of
19 but that his certificate according to the Form No. 11 in the Second Schedule to the Births and Deaths Registration Ordinance, 1934, cannot be obtained, or that the child of Mrs. C.D. which was born on the
day of
19
was not born alive].
Dated the
day of
19
(Signed.)
A.B.. Legal informant.
Before me,
(Signed.)
Justice of the peace.
FORM No. 16.
[s. 19.]
Notice where coffin contains more than one body.
I, A.B., hereby give you notice that in the coffin in which C.D. is brought for burial there is the body of E.F., a male [or female] lately residing at No.
Dated the
(Signed.)
day of
19
•
A.B., Undertaker [or Person in charge of funeral].
FORM No. 17.
[s. 19.]
Notice where coffin contains more than one body.
I, A.B., hereby give you notice that in the coffin in which C.D. is brought for burial there is a body which has been found exposed. and that the rame and place of abode of the person whose body has been found are unknown.
Dated the
day of
19
+
(Signed.) A.B., Undertaker [or Person in charge of funeral.]
FORM No. 18.
[s. 19.]
Notice where coffin also contains the body of a child.
I, A.B., hereby give you notice that in the coffin in which C.D. is brought for burial there is the body of a deceased child, name unknown [or of a still-born child] and the name and place of abode of the father [or mother] of such child are
and No.
Dated the
day of
19
1
(Signed.) A.B., Undertaker [or Person in charge of funeral.]