Births Registration (Special Registers).

THIRD SCHEDULE.

[CAP. 175

[s. 4.]

FORM 1.

(No. 1 Register (1896)).

REGISTER BOOK OF BIRTHS.

19

Births in the district of

Hong Kong.

No.

When

and where born.

Name if any

19

Sex.

Name and

sur-name of father.

Name and maiden

Rank

or pro-fession

Signature, descrip-tion and residence

When

Signature

Name if added

Burname

of

of mother.

father.

of informant.

of regis-tered.

Registrar.

after

registra-tion of

birth.

FORM 2. (No. 2 Register (1896)).

REGISTER BOOK OF BIRTHS.

Births in the district of

"

Hong Kong.

No.

When

and where

Name if any

Sex.

born.

Name and

sur-

name of

Name and

Rank

Signature, descrip-

or pro-

tion and

maiden

surname

fession

residence

of

When regis-tered.

Consent and signature

of mother.

father.

father.

of informant.

of Registrar.

345

Consent given A.B. Registrar.

Name if added after registra-tion of birth.

4

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