{ "id": 16160, "slug": "the-chhattisgarh-registration-of-births-and-deaths-rules-2001", "title": "The Chhattisgarh Registration of Births and Deaths Rules, 2001", "short_title": "The Chhattisgarh Registration of Births and Deaths Rules, 2001", "act_number": "Published vide Notification No. 87/2002/23/P.E.S.,", "act_year": 2001, "act_type": "STATE", "location": "Chhattisgarh", "law_status": "unknown", "enactment_date": null, "description": "The Chhattisgarh Registration of Births and Deaths Rules, 2001", "preamble": "", "section_label": "Section", "sections": [ { "number": "1", "title": "1. Short title, extension and commencement.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 0 }, { "number": "2", "title": "2. Definitions.", "chapter": null, "content": "(a) \"Act\" means the Registration of Births and Deaths Act, 1969 (No. 18 of 1969);\n(b) \"Form\" means a Form appended to these rules; and\n(c) \"Section\" means a Section of the Act.", "footnote": "", "is_definition": true, "sort_order": 1 }, { "number": "3", "title": "3. Period of gestation.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 2 }, { "number": "4", "title": "4. Submission of report under Section 4 (4).", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 3 }, { "number": "5", "title": "5. Form, etc. for giving information of births and deaths.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 4 }, { "number": "6", "title": "6. Birth or death in a vehicle.", "chapter": null, "content": "Explanation :", "footnote": "", "is_definition": false, "sort_order": 5 }, { "number": "10", "title": "7. Form of certificate under Section 10 (3).", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 6 }, { "number": "12", "title": "8. Extracts of registration entries to be given under Section 12.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 7 }, { "number": "9", "title": "9. Authority for delayed registration and fee payable therefor.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 8 }, { "number": "14", "title": "10. Period for the purpose of Section 14.", "chapter": null, "content": "(i) In case where the registration had been made prior to the date of commencement of this Rule, from such date, or\n(ii) In case where the registration is made after the date of commencement of this Rule, from the date of such registration, subject to the provisions of sub-section (4) of Section 23, Registrar shall-\n(a) if the register is in his possession forthwith enter the name in the relevant column of the concerned form in the birth register on payment of a late fee of rupees five,\n(b) if the register is not in his possession and if the information is given orally, make a report giving necessary particulars, and, if the information is given in writing, forward the same to the officer authorised by the State Government in this behalf for making the necessary entry on payment of a late fee of rupees five.", "footnote": "", "is_definition": false, "sort_order": 9 }, { "number": "11", "title": "11. Correction or cancellation of entry in the register of births and deaths.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 10 }, { "number": "16", "title": "12. Form of register under Section 16.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 11 }, { "number": "17", "title": "13. Fees and postal charges payable under Section 17.", "chapter": null, "content": "Rs.\n(a)\nSearch for a single entry in the first year for which the\n\t\t\t\tsearch is made\n2.00\n(b)\nfor every additional year for which the search is continued\n2.00\n(c)\nfor granting extract relating to each birth or death\n5.00\n(d)\nfor granting non-availability certificate of birth or death\n2.00", "footnote": "", "is_definition": false, "sort_order": 12 }, { "number": "19", "title": "14. Interval and forms of periodical returns under Section 19 (1).", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 13 }, { "number": "19", "title": "15. Statistical report under Section 19 (2).", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 14 }, { "number": "16", "title": "16. Conditions for compounding offences.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 15 }, { "number": "30", "title": "17. Registers and other records under Section 30 (2) (k).", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 16 }, { "number": "18", "title": "18. Repeal and saving.", "chapter": null, "content": "Format of the Report on the Working of the Act\nFormat of the Report on the Working of the Act\n( See Rule 4)", "footnote": "", "is_definition": false, "sort_order": 17 }, { "number": "1", "title": "1. Brief description of the State, its boundaries and revenue districts.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 18 }, { "number": "2", "title": "2. Changes in Administrative Areas.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 19 }, { "number": "3", "title": "3. Explanation about the differences in Areas.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 20 }, { "number": "4", "title": "4. Changes in Registration Area-Extension.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 21 }, { "number": "5", "title": "5. Administrative set up of the registration machinery at various levels.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 22 }, { "number": "6", "title": "6. General response of the public towards this Act.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 23 }, { "number": "7", "title": "7. Notification of birth and deaths.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 24 }, { "number": "8", "title": "8. Progress in the medical certification of cause of death.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 25 }, { "number": "9", "title": "9. Maintenance of Records.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 26 }, { "number": "10", "title": "10. Search of births and deaths register for issue of certificates", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 27 }, { "number": "11", "title": "11. Delayed registrations.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 28 }, { "number": "12", "title": "12. Prosecutions and compounding of offences.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 29 }, { "number": "13", "title": "13. Difficulties encountered in implementation of the Act.", "chapter": null, "content": "(i) Administrative\n(ii) Others.", "footnote": "", "is_definition": false, "sort_order": 30 }, { "number": "14", "title": "14. Orders and Instructions issued under the Act.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 31 }, { "number": "15", "title": "15. General remarks.", "chapter": null, "content": "Birth Report Form\nBirth Report Form\n( See Rule 5)\nForm No. 1\nForm No. 1\nBirth Report Form\nBirth Report Form\n(Legal Information)\n(To be filled by the informant)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 32 }, { "number": "1", "title": "1. Date of Birth..................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 33 }, { "number": "2", "title": "2. Sex : Male/Female..............................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 34 }, { "number": "3", "title": "3. Name of the child, if any........................................................", "chapter": null, "content": "(if not named, leave blank)", "footnote": "", "is_definition": false, "sort_order": 35 }, { "number": "4", "title": "4. Name of the father....................................and address........................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 36 }, { "number": "5", "title": "5. Name of the mother..................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 37 }, { "number": "6", "title": "6. Place of birth (√ the appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName.......................................\n(2) House..........................................\nAddress....................................", "footnote": "", "is_definition": false, "sort_order": 38 }, { "number": "7", "title": "7. Informant's name and address", "chapter": null, "content": ".............................................................................................\nSignature/thumb mark of the informant\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nBirth Report\nBirth Report\n(Statistical information)\n(To be filled by the informant)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 39 }, { "number": "8", "title": "8. Town or Village of Residence of the mother :", "chapter": null, "content": "(a) Name of Town/Village.................................................\n(b) Is it a town or village\n(√ the appropriate entry below)\n(1) Town           (2) Village\n(c) Name of District........................................................\n(d) Name of State...........................................................", "footnote": "", "is_definition": false, "sort_order": 40 }, { "number": "9", "title": "9. Religion of the Family", "chapter": null, "content": "(√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 41 }, { "number": "1", "title": "1. Hindu      2. Muslim       3. Christian", "chapter": null, "content": "(4) Any other religion.......................................(mention name)", "footnote": "", "is_definition": false, "sort_order": 42 }, { "number": "10", "title": "10. Father's level of education....................................................", "chapter": null, "content": "(Enter the completed level of education)", "footnote": "", "is_definition": false, "sort_order": 43 }, { "number": "11", "title": "11. Mother's level of education....................................................", "chapter": null, "content": "(Enter the completed level of education)", "footnote": "", "is_definition": false, "sort_order": 44 }, { "number": "12", "title": "12. Father's occupation............................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 45 }, { "number": "13", "title": "13. Mother's occupation............................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 46 }, { "number": "14", "title": "14. Age of the Mother at the time of marriage......................................(in completed years)", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 47 }, { "number": "15", "title": "15. Age of the mother at the time of this birth..................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 48 }, { "number": "16", "title": "16. Number of children born alive to the mother so far including this child..........................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 49 }, { "number": "17", "title": "17. Type of attention at delivery :", "chapter": null, "content": "(√ the appropriate entry below)\n(1) Institutional-Government\n(2) Institutional-Private or Non-Government\n(3) Doctor, Nurse or Trained midwife\n(4) Traditional Birth Attendant\n(5) Relatives or others", "footnote": "", "is_definition": false, "sort_order": 50 }, { "number": "18", "title": "18. Method of Delivery :", "chapter": null, "content": "(√ the appropriate entry below)\n(1) Natural (2) Cesarean (3) Forceps/Vacuum", "footnote": "", "is_definition": false, "sort_order": 51 }, { "number": "19", "title": "19. Birth weight (in kgs.) (if available).......................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 52 }, { "number": "20", "title": "20. Duration of pregnancy (in weeks)............................................", "chapter": null, "content": "(To be filled by the Registrar)\n(To be filled by the Registrar)\nName\nCode No.\nDistrict................................................................................................\n................................................\nTehsil..................................................................................................\n................................................\nTown Village.......................................................................................\n................................................\nRegistration Unit............................................................................\n................................................\nRegistration No..............................................................................\nRegistration date...................\nDate of birth.................................................................................\nName and Signature of the Registrar and Seal\nDeath Report Form\nDeath Report Form\n( See Rule 5)\nForm No. 2\nForm No. 2\nDeath Report Form\nDeath Report Form\n(Legal information)\n(To be filled by the informant)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 53 }, { "number": "1", "title": "1. Date of Death..................................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 54 }, { "number": "2", "title": "2. Name of the deceased.......................................and full address.......................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 55 }, { "number": "3", "title": "3. Sex of the deceased : Male/Female", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 56 }, { "number": "4", "title": "4. Age of the deceased.......................................................................", "chapter": null, "content": "(If the deceased was over 1 year of age give age in completed years : If the deceased was below 1 year of age, give age in months, and if below 1 month give age in completed number of days and if below one day, in hours)\n4. (a) Name of Father/Husband of the deceased.................................", "footnote": "", "is_definition": false, "sort_order": 57 }, { "number": "5", "title": "5. Place of Death (√ the appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName...............................................................\n(2) House..............................................................\nAddress............................................................\n(3) Other place...........................................................", "footnote": "", "is_definition": false, "sort_order": 58 }, { "number": "6", "title": "6. Informant's name & Address :", "chapter": null, "content": "..................................................................................\nSignature/thumb mark of the Informant\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nName and Signature of the Registrar and Seal\nDeath Report\nDeath Report\n(Statistical Information)\n(To be filled by the informant)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 59 }, { "number": "7", "title": "7. Town or village of Residence of the deceased :", "chapter": null, "content": "(a) Name of Town/Village...............................................\n(b) Is it a town or village\n(√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 60 }, { "number": "1", "title": "1. Town           2. Village", "chapter": null, "content": "(c) Name of District................................\n(d) Name of State................................", "footnote": "", "is_definition": false, "sort_order": 61 }, { "number": "8", "title": "8. Religion of the family :", "chapter": null, "content": "(√ the appropriate entry' below)", "footnote": "", "is_definition": false, "sort_order": 62 }, { "number": "1", "title": "1. Hindu              2. Muslim              3. Christian", "chapter": null, "content": "(4) Any other religion..........................................(mention name)", "footnote": "", "is_definition": false, "sort_order": 63 }, { "number": "9", "title": "9. Occupation of the deceased................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 64 }, { "number": "10", "title": "10. Type of medical attention received before death :", "chapter": null, "content": "(√ the appropriate entry below)\n(1) Institutional\n(2) Medical attention other than institution\n(3) No medical attention", "footnote": "", "is_definition": false, "sort_order": 65 }, { "number": "11", "title": "11. Was the cause of death medically certified...............", "chapter": null, "content": "(√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 66 }, { "number": "1", "title": "1. Yes       2. No", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 67 }, { "number": "12", "title": "12. Name of Disease or Actual Cause of Death :", "chapter": null, "content": "(whether medically Certified or not)", "footnote": "", "is_definition": false, "sort_order": 68 }, { "number": "13", "title": "13. In case this is a female death, did the death occur while pregnant, at the time of delivery or within 6 weeks after the end of pregnancy :", "chapter": null, "content": "(√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 69 }, { "number": "1", "title": "1. Yes       2. No", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 70 }, { "number": "14", "title": "14. If used to habitually smoke................................", "chapter": null, "content": "For how many years ?", "footnote": "", "is_definition": false, "sort_order": 71 }, { "number": "15", "title": "15. If used to habitually chew tobacco in any form :", "chapter": null, "content": "For how many years ?", "footnote": "", "is_definition": false, "sort_order": 72 }, { "number": "16", "title": "16. If used to habitually chew arecanut in any form :", "chapter": null, "content": "(including pan masala)-\nFor how many years ?", "footnote": "", "is_definition": false, "sort_order": 73 }, { "number": "17", "title": "17. If used to habitually drink alcohol :", "chapter": null, "content": "For how many years ?\n(To be filled by the Registrar)\nName\nCode No.\nDistrict................................................................................................\n................................................\nTehsil..................................................................................................\n................................................\nTown Village.......................................................................................\n................................................\nRegistration Unit............................................................................\n................................................\nRegistration No..............................................................................\nRegistration date :.............................\nDate of birth.................................................................................\n(2) House\n(3) Other\nName and Signature of the Registrar and Seal\nStill Birth Report Form\nStill Birth Report Form\n( See Rule 5)\nForm No. 3\nForm No. 3\nStill Birth Report Form\nStill Birth Report Form\n(Legal information)\n(To be filled by the Informant)\n(To be filled by the Informant)", "footnote": "", "is_definition": false, "sort_order": 74 }, { "number": "1", "title": "1. Date of Birth : .............................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 75 }, { "number": "2", "title": "2. Sex : Male/Female : ...................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 76 }, { "number": "3", "title": "3. Name of the father : ....................................and address : ..................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 77 }, { "number": "4", "title": "4. Name of the mother : ..................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 78 }, { "number": "5", "title": "5. Place of birth : (√ the appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName: .......................................\n(2) House\nAddress : ..............................", "footnote": "", "is_definition": false, "sort_order": 79 }, { "number": "6", "title": "6. Informant's name :", "chapter": null, "content": "Address : ........................................\nDate :...............................\nSignature/thumb marks of the Informant\n(Statistical information)\n(To be filled by the informant)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 80 }, { "number": "7", "title": "7. Place of Residence of the mother :", "chapter": null, "content": "(a) Name of Town/Village : .........................................\n(b) It is town or village (√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 81 }, { "number": "1", "title": "1. Town         2. Village", "chapter": null, "content": "(c) Name of District : .............................................\n(d) Name of State: .................................................", "footnote": "", "is_definition": false, "sort_order": 82 }, { "number": "8", "title": "8. Age of the mother (in completed years) at the time of this birth...........................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 83 }, { "number": "9", "title": "9. Mother's level of education : ......................................", "chapter": null, "content": "(Enter the completed level of education)", "footnote": "", "is_definition": false, "sort_order": 84 }, { "number": "10", "title": "10. Type of attention at delivery :", "chapter": null, "content": "(√ the appropriate entry below)", "footnote": "", "is_definition": false, "sort_order": 85 }, { "number": "1", "title": "1. Institutional-Government", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 86 }, { "number": "2", "title": "2. Institutional-Private or Non-Government", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 87 }, { "number": "3", "title": "3. Doctor, Nurse or Trained midwife", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 88 }, { "number": "4", "title": "4. Traditional Birth attendant", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 89 }, { "number": "5", "title": "5. Relatives or others.", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 90 }, { "number": "11", "title": "11. Duration of pregnancy : (in weeks)", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 91 }, { "number": "12", "title": "12. Cause of foetal death : (if known)", "chapter": null, "content": "(To be filled by the Registrar)\n(To be filled by the Registrar)\nName and Signature of the Registrar and Seal\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nName\nCode No.\nDistrict................................................................................................\n................................................\nTehsil..................................................................................................\n................................................\nTown Village.......................................................................................\n................................................\nRegistration Unit............................................................................\n................................................\nRegistration No..............................................................................\nRegistration date :.............................\nDate of Birth.................................................................................\nName and Signature of the Registrar and Seal\nForm No. 4\nForm No. 4\n( See Rule 7)\nMedical Certificate of Cause of Death\nMedical Certificate of Cause of Death\n(Hospital In-patients. Not to be used for still births)\nTo be sent to Registrar alongwith Form No. 2 (Death Report)\nName of Deceased\nFor use of Statistical Office\nSex\nAge at Death\nAge in completed years\nIf less than 1 year, age in months\nIf less than one month, age in Days\nIf less than one day, age in Hours", "footnote": "", "is_definition": false, "sort_order": 92 }, { "number": "1", "title": "1. Male 2. Female", "chapter": null, "content": "Interval between on set and death approx.\nI. Immediate cause\n(a) ..................\nState the disease, injury or complication which caused\n\t\t\tdeath, not the mode of dying such as heart failure,\n\t\t\tasthenia, etc.\ndue to (or as a consequences of)\nAntecedent cause\n(b)..................\nMorbid conditions, if any, giving rise to the above cause\n\t\t\tstating underlying conditions last\ndue to (or as a consequences of)\nII. Other significant conditions contributing to the death\n\t\t\tbut not related to the disease or conditions causing it\n(c).................. how did the injury occur?\nManner of Death\nManner of Death", "footnote": "", "is_definition": false, "sort_order": 93 }, { "number": "1", "title": "1. Natural", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 94 }, { "number": "2", "title": "2. Accident", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 95 }, { "number": "3", "title": "3. Suicide", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 96 }, { "number": "4", "title": "4. Homicide", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 97 }, { "number": "5", "title": "5. Pending investigation", "chapter": null, "content": "If deceased was a female, was pregnancy the death associated\n\t\t\t\twith ?", "footnote": "", "is_definition": false, "sort_order": 98 }, { "number": "1", "title": "1. Yes         2. No", "chapter": null, "content": "If yes, was there a delivery ?", "footnote": "", "is_definition": false, "sort_order": 99 }, { "number": "1", "title": "1. Yes         2. No", "chapter": null, "content": "Name and signature of the Medical Attendant certifying the\n\t\t\t\tcause of death\nDate of verification.............................\nSee Reverse For Instructions\nSee Reverse For Instructions\n(To be detached and handed over to the relative of the deceased)\nDoctor............................. (Medical Supdt. Name of Hospital)\nMedical Certificate of Cause of Death\nMedical Certificate of Cause of Death\nDirections of completing the form\nName of deceased\nAge\nCause of death\nOnset\nAccidental or violent deaths\nMarital deaths\nOld age or senility\nCompleteness of information\nExample\nSymptomatic statement\nManner of death\nForm No. 4-A\nForm No. 4-A\n( See Rule 7)\nMedical Certificate of Cause of Death\nMedical Certificate of Cause of Death\n(For non-Institutional death. Not to be used for still births)\nTo be sent to Registrar along with Form No. 2 (Death Report)\nName of Deceased\nFor use of Statistical Office\nSex\nAge at Death\nAge in completed years\nIf less than 1 year, age in months\nIf less than one month, age in Days\nIf less than one day, age in Hours", "footnote": "", "is_definition": false, "sort_order": 100 }, { "number": "1", "title": "1. Male 2. Female", "chapter": null, "content": "Interval between on set and death approx.\nI. Immediate cause\n(a) ..................\nState the disease, injury or complication which caused\n\t\t\tdeath, not the mode of dying such as heart failure,\n\t\t\tasthenia, etc.\ndue to (or as a consequences of)\nAntecedent cause\n(b)..................\nMorbid conditions, if any, giving rise to the above cause\n\t\t\tstating underlying conditions last\ndue to (or as a consequences of)\nII. Other significant conditions contributing to the death\n\t\t\tbut not related to the disease or conditions causing it\n(c)..................\nIf deceased was a female, was pregnancy the death associated\n\t\t\t\twith ?", "footnote": "", "is_definition": false, "sort_order": 101 }, { "number": "1", "title": "1. Yes         2. No", "chapter": null, "content": "If yes, was there a delivery ?", "footnote": "", "is_definition": false, "sort_order": 102 }, { "number": "1", "title": "1. Yes         2. No", "chapter": null, "content": "Name and signature of the Medical Practitioner certifying the\n\t\t\t\tcause of death\nDate of certification.............................\nSee Reverse For instructions\nSee Reverse For instructions\n(To be detached and handed over to the relative of the deceased)\nSignature and address of Medical/Practitioner Medical attendant with Registration No.\nMedical Certificate of Cause of Death\nMedical Certificate of Cause of Death\nDirections of completing the form\nName of deceased\nAge\nCause of death\nOnset\nAccidental or violent deaths\nMarital deaths\nOld age or senility\nCompleteness of information\nExample\nSymptomatic statement\nForm No. 5\nForm No. 5\n( See Rule 8)\nBirth Certificate\nBirth Certificate\n(Issued under Section 12/17)\nSignature of Issuing Authority\nSeal\nForm No. 6\nForm No. 6\n( See Rule 8)\nDeath Certificate\nDeath Certificate\n(Issued under Section 12/17)\nSignature of Issuing Authority\nSeal\nForm No. 7\nForm No. 7\n( See Rule 12)\nBirth Register\nBirth Register\nForm No. 1 : Birth Report\nForm No. 1 : Birth Report\n(Legal information)\n(Legal information)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 103 }, { "number": "1", "title": "1. Date of Birth: .....................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 104 }, { "number": "2", "title": "2. Sex : Male/Female : ............................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 105 }, { "number": "3", "title": "3. Name of the Child, if any (If not named, leave blank).................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 106 }, { "number": "4", "title": "4. Name of the father............................and address.................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 107 }, { "number": "5", "title": "5. Name of the mother...........................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 108 }, { "number": "6", "title": "6. Place of birth (√ the appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName: .................................................................\n(2) House :.................................................................\nAddress : .............................................................", "footnote": "", "is_definition": false, "sort_order": 109 }, { "number": "7", "title": "7. Informant's name and address.............................................................", "chapter": null, "content": "Signature/thumb mark of the informant\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nName and Signature of the Registrar and Seal\nForm No. 8\nForm No. 8\n( See Rule 12)\nDeath Register\nDeath Register\nForm No. 2 : Death Report\nForm No. 2 : Death Report\n(Legal information)\n(To be filled by the informant)", "footnote": "", "is_definition": false, "sort_order": 110 }, { "number": "1", "title": "1. Date of Death...................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 111 }, { "number": "2", "title": "2. Name of the Deceased............................................ and full address............................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 112 }, { "number": "3", "title": "3. Sex of the deceased : Male/Female...............................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 113 }, { "number": "4", "title": "4. Age of the deceased .............................................", "chapter": null, "content": "(If the deceased was over 1 year of age give age in completed years : If the deceased was below 1 year of age, give age in months, and if below 1 month give age in completed number of days and if below one day, in hours)\n4. (a) Name of Father/Husband of the deceased :\n..........................................................................................", "footnote": "", "is_definition": false, "sort_order": 114 }, { "number": "5", "title": "5. Place of Death (√ appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName: ......................................\n(2) House Address : ................................................\n(3) Other Place : ..................................................", "footnote": "", "is_definition": false, "sort_order": 115 }, { "number": "6", "title": "6. Informant's name :.......................................................", "chapter": null, "content": "Address : .........................................................................\nSignature/thumb mark of the informant\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nName and Signature of the Registrar and Seal\nForm No. 9\nForm No. 9\n( See Rule 12)\nStill Birth Register\nStill Birth Register\nForm No. 3 : Still Birth Report\nForm No. 3 : Still Birth Report\n(Legal information)\n(Legal information)\n(To be filled by the Informant)", "footnote": "", "is_definition": false, "sort_order": 116 }, { "number": "1", "title": "1. Date of Birth: ....................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 117 }, { "number": "2", "title": "2. Sex : Male/Female : ...........................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 118 }, { "number": "3", "title": "3. Name of the father : ..........................and address : ................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 119 }, { "number": "4", "title": "4. Name of the mother : ..........................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 120 }, { "number": "5", "title": "5. Place of birth (√ the appropriate entry below)", "chapter": null, "content": "(1) Hospital/Institution :\nName: ...................................\n(2) House :...................................\nAddress : ...............................", "footnote": "", "is_definition": false, "sort_order": 121 }, { "number": "6", "title": "6. Informant's name : ..................................................", "chapter": null, "content": "Address : ......................................................\nSignature/thumb mark of the Informant\n(To be filled by the Registrar)\n(To be filled by the Registrar)\nName and Signature of the Registrar and Seal\nForm No. 10\nForm No. 10\n( See Rule 13)\nNon-Availability Certificate\nNon-Availability Certificate\n(Issued under Section 17 of the Registration of Births and Deaths Act, 1969)\nSignature of Issuing Authority\nSeal\nForm No. 11\nForm No. 11\n( See Rule 14)\nSummary Monthly Report of Births\nSummary Monthly Report of Births", "footnote": "", "is_definition": false, "sort_order": 122 }, { "number": "1", "title": "1. Report for the Month of.....................Year............................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 123 }, { "number": "2", "title": "2. District........................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 124 }, { "number": "3", "title": "3. Town/Village..........................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 125 }, { "number": "4", "title": "4. Registration Unit.....................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 126 }, { "number": "5", "title": "5. Number of Births Registered :", "chapter": null, "content": "(a) Within one year of Occurrence....................................\n(b) After one year of their Occurrence...............................\nTotal* (a + b) :\nSignature and Name of the Registrar\n* Total should be equal to the number of statistical part of Birth Reporting Forms (Form No. 1) attached with this monthly report.\nForm No. 12\nForm No. 12\n( See Rule 14)\nSummary Monthly Report of Deaths\nSummary Monthly Report of Deaths", "footnote": "", "is_definition": false, "sort_order": 127 }, { "number": "1", "title": "1. Report for the Month of........................Year...................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 128 }, { "number": "2", "title": "2. District.............................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 129 }, { "number": "3", "title": "3. Town/Village....................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 130 }, { "number": "4", "title": "4. Registration Unit..............................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 131 }, { "number": "5", "title": "5. Number of Deaths Registered during the Month :", "chapter": null, "content": "Deaths\nInfants Deaths\nMaternal deaths\nRegistered within one year of occurrence\nRegistered after one year of occurrence\nTotal*\n(1)\n(2)\n(3)\n(4)\n(5)\nNote : - Infant and Maternal Deaths should also be included in the Deaths.\nNote :\nSignature and Name of the Registrar\nSubmitted to the Chief Registrar/District Registrar.\n* Total should be equal to the number of statistical part of Death Reporting Forms (Form No. 2) attached with this another report.\nForm No. 13\nForm No. 13\n( See Rule 14)\nSummary Monthly Report of Still Births\nSummary Monthly Report of Still Births", "footnote": "", "is_definition": false, "sort_order": 132 }, { "number": "1", "title": "1. Report for the Month of............................Year..............................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 133 }, { "number": "2", "title": "2. District...........................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 134 }, { "number": "3", "title": "3. Town/Village.........................................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 135 }, { "number": "4", "title": "4. Registration Unit....................................................................................", "chapter": null, "content": "", "footnote": "", "is_definition": false, "sort_order": 136 }, { "number": "5", "title": "5. Number of Still Births Registered*", "chapter": null, "content": "Signature and Name of the Registrar\nSubmitted to the Chief Registrar/District Registrar.\n*Number of Still Births Registered should be equal to the number of Still Report Forms (Form No. 3) attached with this monthly report.", "footnote": "", "is_definition": false, "sort_order": 137 } ], "metadata": { "Act ID": "cg062", "Act Number": "Published vide Notification No. 87/2002/23/P.E.S., Chhattisgarh Gazette Rajpatra (Asadharan), dated 25-1-2002", "Enactment Date": "", "Act Year": "2001", "Short Title": "The Chhattisgarh Registration of Births and Deaths Rules, 2001", "Type": "STATE", "Location": "Chhattisgarh" }, "updated_at": "2026-09-29 21:55:19" }