Births and Deaths Registration.
19
•
SECOND SCHEDULE.
FORM 1.
Register book of births.
Births in the district of [CAP. 174
[s. 29.]
[s. 4 (1) (2).]
, Hong Kong.
No.
When Name, and where born.
if any.
Name and Sex.
surname of father.
Name and maiden surname of mother.
Rank or profession of father.
19
Signature, description and residence of informant.
When registered.
Signature of registrar.
Name, if added after registration of birth.
FORM 2.
Register book of deaths.
Deaths in the district of [s. 4 (1) (2).]
, Hong Kong.
No.
When and where died.
Name and surname.
Sex.
Age.
Rank, profession, or occupation and nationality so far as is known.
Cause of death.
Signature, description and residence of informant.
When registered.
Signature of registrar.
Page 15
Page 16
Page 15
Page 16
Births and Deaths Registration.
19
•
SECOND SCHEDULE.
FORM 1.
Register book of births.
Births in the district of
[CAP. 174
[s. 29.]
[s. 4 (1) (2).]
,
Hong Kong.
No.
When Name,
and where born.
if
any.
Name and Sex. surname
of father.
Name and maiden
surname of mother.
Rank
or
profes- sion of
father.
19
Signa-
ture,
Signa-
descrip-
tion and
residence i tered.
of in-
When ture regis- of
regis- trar.
Name, if added after registra-
formant.
tion of birth.
FORM 2.
Register book of deaths.
Deaths in the district of
[s. 4 (1) (2).]
, Hong Kong.
When
No. and
Name and
Sex.
Age.
where surname.
died.
Rank, pro- fession, or occupation and nationality
so far as is known.
327
Cause of death.
Signa- ture, descrip- tion and residence of in-
When Signature regis- tered.
of registrar.
formant.
Page 15Page 16
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