Notice Of Birth Of A Child

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FORM 3
Regulation 8(1)
THE REGISTRATION OF PERSONS (BIRTHS AND DEATHS)
REGULATIONS, 2015
NOTICE OF BIRTH OF A CHILD
1. Date of birth (dd/mm/yy)…/…/…/ Time of birth ……………………………………………..
2. Place of birth……………………….Name of medical facility …………………………..no. of
House and name of street ……………………………………………………………………….
City, Municipality, town or village ………………………………………………………………
District……………………………………………………………………………………………
3. Name (if any) of child ……………………………………………………………………………
4. Sex of child ………………………………………………………………………………………
5. Weight at birth …………………………………………………………………………………...
6 Father
Surname………………………………………………………………………………………..
Given Name…………………………Other Names……………………………………………
7. Address (both physical and postal) ………………………………………………………………….
a) Village………………………………………………………………………………….
b) Parish…………………………………………………………………………………...
c) Sub county ……………………………………………………………………………..
d) County…………………………………………………………………………………
e) District…………………………………………………………………………………
8. Occupation …………………………………………………………………………………………..
9. Nationality …………………………………………………………………………………………...
10. National Identification Number/Alien Identification Number*
…/…/…/…/…/…/…/…/…/…/…/…/…/…/
Mother
11. Name
Surname………………………………………………………………………………………..
Given Name…………………………Other Names……………………………………………
12. Maiden name ………………………………………………………………………………………
13. Address
(a) Village………………………………………………………………................................................
(b) Parish……………………………………………………………….......................................
(c) Sub county……………………………………………………………...................................
(d) County ……………………………………………………………….....................................
(e) District……………………………………………………………….....................................
15. Age ………………………………………………………………………………………………….
14. Occupation ………………………………………………………………………………………….

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