Births, Deaths And Other Personal Events (registration) Rules, 2034 (1977)
Schedule 12
(relating To Rule 7)

Schedule-12

(Relating to Rule 7)

Form of Birth Registration

Government of Nepal

Local Registrar’s Office

Ward No————————- Rural Municipality/Municipality.

————————————-District, —————-Province

Birth Registration Certificate

Registration Date: BS……………………

Registration No:

(………………AD)

Full Name:
Date of Birth: [BS]                                                   /                                             [AD]
Sex:
Permanent Address:
Birth Place:
Full name of Grandfather:
 

Father’s Details:

Full Name:
ID/Citizenship/Passport:
Mother’s Details:Full Name:
ID/Citizenship/Passport:
Informant’s Name:Name:
ID/Citizenship/Passport:

 

Signature:

Name of Local Registrar:                                                                                                                                                                                    Seal of Office

Births, Deaths And Other Personal Events (registration) Rules, 2034 (1977)