CAP. 175]

Births Registration (Special Registers).

SECOND SCHEDULE.

(s. 4.)

FORM 1.

(No. 1 Register (1872)).

Hong Kong.

1872. Births in the District of

No. When born. Name if any. Sex. Name and surname of father. Signature, Name and maiden surname of mother. Rank or profession of father. Signature, description and residence of informant. When registered. Signature of Registrar. Baptismal name if added after registration of birth.

FORM 2.

1872. Births in the District of

(No. 2 Register (1872)).

No. When born. Name if any. Sex. Name and surname of father. Name and maiden surname of mother. Rank or profession of father. Signature, description and residence of informant. When registered. Consent and signature of Registrar. Baptismal name if added after registration of birth. 344

Hong Kong.

Consent given A.B. Registrar.

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