REGISTRATION OF CHILD NAME WITHIN ONE YEAR OCCURANCE

APPLICATION FOR INCLUSION OF CHILD NAME IN THE BIRTH CERTIFICATE

From

To

Name

The Registrar of Birth and Deaths,

Address:

Circle No._____________________,

Telephone No:

Greater Hyderabad Municipal Corporation

Hyderabad.

Sir,
I,________________________________S/o./W/o._____________________________
Aged about ________________ years working as __________________ (Designation
& office Address) Residing at H.No__________________________________________
(Complete door no.)
Declare that my wife Delivered Male / Female child at_____________________
___________________ (Actual place of Birth) on __________________ (Date of Birth)
Hence, we Request to include our child name as _________________________
(Write in Capital Letters)In the Birth Register of the year____________________
Signature &
Name of the father of the child

CSC Transaction No:

Signature &
Name of the mother of the child

CSC Transaction Date: