638626-1896-Bill-read-Births-and-Deaths-Registration- — Page 12

THE HONGKong governMENT GAZETTE, 14TH MARCH, 1896.

(Q.)

BIRTHS AND DEATHS REGISTRATION ORDINANCE, 1896.

day of death was as hereunder written. on the during the last illness; that such Person's age was stated to be MEDICAL CERTIFICATE OF THE CAUSE OF DEATH To be given by the Medical Attendant to the Person whose duty it is to give it, with information of the Death, to the Registrar General or a Registrar of Deaths and To NO OTHER PERSON, ; that he Died* and that to the best of my knowledge and belief the Cause of h day of I HEREBY CERTIFY that I attended on the

that I last saw h

at

fledthality self

*Should the Medical Attendant not feel justi-

the

of cer-

tifying the fact of Death, he may here insert the words as I am informed.” †The duration of each form of Disease or Symp tom is reckoned from its commencement until death occurs.

Primary, ............................

Secondary,

18

Cause of Death.

18

Duration of Disease in

Years. Mouths. Days.

Hours.†

No. of corresponding Entry in Register Book of Deaths to be inserted here by the Registrar:

[The Informant

should read the

Notice on the back of this Form.]

Witness my hand, this

day of

18

Signature ... Registered qualification..

N.B. This Certificate is intended solely for the use of the Registrar General or a Registrar, to whom it should be delivered by the Person giving information to him of the particulars required by law to be registered concerning the Death. **The Registrar General cautions all persons against accepting or using this certificate for any purpose whatever Penalty of $200 for neglect of Informant to deliver this Certificate to Registrar General or a Registrar. except that of delivering it to himself or a Registrar.

NOTICE

(to be endorsed on the back of the certificate).

By Section of the "Births and Deaths Registration Ordi- nance, 189," it is required that whenever a Registered Medical Practitioner has been in attendance during the last illness of a Deceaseri Person, such Practitioner shall sign and give to a qualified Informant of the Death a Certificate of the Cause of Death. The Informant is bound to deliver the Certificate to the Registrar General or a Registrar of Deaths.

Persons qualified to be informants for the Registration of the Death, and to whom only this Certificate should be given.

1. A RELATIVE of the Deceased, present at the death.

2. A RELATIVE of the Deceased, in attendance during the last

illness.

3. A Person "present at the death."

4. A Person in attendance during the last illness.

5. The "Occupier" of the House in which the Death occurred.

6. An "Inmate" of the House in which the Death occurred.

7. The person

"who caused the body to be buried."

Penalty for failing to give information within the 48 hours (in which Sundays and Government Holidays shall not be included) next following death is $200.

Informants must be prepared to state accurately to the Registrar General or a Registrar, the following partienlars :-

:

(1) The date and place of Death.

(2) The full names and surname of Deceased.

(3) The correct age of Deceased.

(4) The rank, profession, or eccupation of Deceaserl. [If De- ceased is a child or an unmarried person without occupa- tion or property, the full names and rank or profession of the father will be required (except in the case of illegiti mate children); if a wife or widow, those of the husband or deceased husband.]

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