CAP. 174]
I (Name)
(Address)
Births and Deaths Registration.
FORM 6.
Declaration of name of child.
(Description)
Parent [or guardian] of the child of
and
on the
day of
[s. 13 (1).]
whose birth was registered
without a name, do solemnly, sincerely and truly declare that the said child has received the name(s) of
and that
I desire that the said name(s) shall be added to the register.
(Signed.)
A.B.,
Parent [or Guardian.]
Before me.
(Signed.)
Registrar.
FORM 7.
[s. 13 (2).]
Certificate of registration of alteration of name of child.
I, A.B., Registrar [or Deputy or Assistant Registrar] of Births and Deaths, do hereby certify that the name [or names] of by which a child of one C.D. and E.F. was registered on the day of
has [or have] been altered to
and that such alteration has been entered in the
register book.
Dated the
day of
19
(Signed.)
Fee $1.
A.B., a Registrar of Births and Deaths.
FORM 8.
[s. 13 (2).]
Certificate of registration of name of child.
I, A.B., Registrar [or Deputy or Assistant Registrar] of Births and Deaths do hereby certify that the name [or names] of
has [or have] been given to the child of one C.D. and E.F. whose birth was registered on the
day of
and that such name or names has [or have] been entered in the register book.
Dated the
day of
19
(Signed.) A.B., a Registrar of Births and Deaths.
Fee $1.
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