CAP. 174]

Births and Deaths Registration.

FORM 3.

[s. 9 (4).]

Name of child

Sex

Date of birth

Date registered

Name of mother

Certificate of Registration of Birth.

Address at birth

Signature of registrar

This certificate must be produced on demand by a police officer to prove that the name of the person entered has been registered.

「此執照如遇警弁索閱須交出察看以証明上開之人名經已註冊」

No fee is payable for this certificate.

領此証書無須繳費

To.......

FORM 4.

[s. 11 (1).]

Take notice that under the provisions of THE VACCINATION ORDINANCE, 1923 all children born in the Colony must be vaccinated within six weeks from the date of birth by a medical practitioner or public vaccinator, and the certificate of successful vaccination or of unfitness for, or of insusceptibility to successful vaccination, which will be furnished to you by the vaccinator, must be sent to this office within seven days, from the date of the certificate.

A Registrar of Births and Deaths.

Address

..195

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