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' Form No.5 GOVERNMENT OF ANDHRA PRADESH MEDICAL & HEALTH DEPARTMENT BIRTH CERTIFICATE Issued under Section l2ll7 of the Registration of Birth and Deaths Act, 1969 read With Rule 8/13 of the Andhra
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A SANKAR. The Registration under Section 1, 2, 3 of the Andhra Pradesh Birth Registration Act, 1969 read with Rules, I/P.3 of Registration of Birth and Deaths Act, 1999 and Registration under Section l.2 l of the Registration of Birth and Deaths Regulations, 1999 of the same Act & Rules for a Birth from a Medical Certificate : 1. Name(s) of the mother, father and person giving birth to baby. 2. Age in years of both father and the mother. 3. Place of Birth and Registration Date & Place of Registration. 4. Date of birth of the baby and the Registration Date. 5. Name, sex and any other particulars which may give identification of the baby ( Name of the father and of other person giving birth to baby is not specified as this is already in the register of the birth to baby for a previous case). 6. The name and address of the person furnishing the Registration Certificate. 7. The date when such registration was completed. 8. The date of the Registration of the Birth and Death of the baby. 9. The date of transfer of ownership of land to the next of kin ( This would be the date of transfer of the land from the previous Owner). 10. The name of any other person furnishing documents under Rules, I/P.3 of Registration of Birth and Deaths Act, 1999 to prove that he has given birth to a baby. 11. The name and address of the person furnishing such documents in order to prove that such person had given birth to a baby. If these documents are supplied by two or more persons, then either of the preceding sections of this rule, I/P.3 of Registration of Birth and Deaths Act, 1999 read with I/P.2 of Registration of Birth and Deaths Regulations 1999 are applicable in respect of all the two or more such documents. 12. Wherever an applicant has given birth to a baby in one district & the baby died or is found dead before registration of the certificate of birth of the baby in another district or before the termination of the period of validity of the first certificate of birth given under this Section, the second certificate of birth shall be issued in accordance with Section 3(5)(a) of Act read with Rule 8 of the Andhra Pradesh Registration of Birth and Deaths Rules, 1999 even in such cases. 13. All particulars provided under Section 5(1)(d) read with Rule 8 of the Andhra Pradesh Registration of Birth and Deaths Rules, 1999 are relevant for all