Schedule-6
(Relating to Rule 5)
Migration Record Handover Form
(To be filled by the informer)
To, the Local Registrar,
Ward No————————-Rural Municipality/Municipality,
————————————-District, —————-Province.
Dear Sir,
I (Informer) Mr/Mrs/Miss…………………………………………………… Date of birth ………………………………… having Citizenship Number………………………., would like to give information of migration, setting out the following details. It is requested that migration be registered in accordance with law.
- Migration Details
Details | Present Address | Migrated Address | ||
In Nepali | In English | In Nepali | In English | |
Province | ||||
District | ||||
Rural Municipality/Municipality | ||||
Ward No | ||||
Village/Tole | ||||
Road/Street | ||||
House Number |
Date of Migration: In BS [yy-mm-dd] In AD [dd-mm-yy]
Cause of Migration: Job Business Settlement Others
- Details of Migrated Family Members:
SN | Full Name | Birth Registration Number | Date of Birth | Sex | Citizenship Certificate | Relation with Informer | Whether migrated or not | ||
No | Issue Date | Issue District | |||||||
1 | |||||||||
2 | |||||||||
3 | |||||||||
4 | |||||||||
5 |
The informer’s details:
Covenanting that the details mentioned herein are true and correct, and if proved false, I shall bear and pay, I, the informer, herby sign:
First name Middle Name Surname
Date when form filled up: (Y- M –D)
To be filled up by the Local Registrar:
To, the Local Registrar,
Ward No…, Rural Municipality/Municipality…….…..
……………..…..District …………………..Province
Whereas, an application has been received for migration of ………..members out of ……..members of the family to that place in accordance with Rule 5 of the Births, Deaths and Other Personal Events (Registration) Regulation, 2034 (…); and Whereas, the record has been transferred, by attaching herewith the original copy of the information form, upon registering personal events of all members that took place heretofore;
Now, therefore, it is requested that the migration be registered there.
Local Registrar’s signature:
Local Registrar’s name:
Employee ID No.
Form registration number:
Form registration date: Seal of office:
Date when form filled up:
Note: This information form must be registered with the Local Registrar’s Office at the address migrated to within thirty-five days.
Documents to be attached with the information form:
- Copy of the informer’s citizenship certificate:
- Original of the migration record handover form: