A SAMPLE UNAVAILABILITY CERTIFICATE FOR BIRTH

 
 
FORM No. 18
(Rule 14)
 
 
Government ________________________

Department _________________________

Name of Applicant___________________________

Application Number__________________________

Issue of untraceable certificate under the Births and Deaths Registration Act of 1969.

It is certified that on the request of ________________, son of __________,

the relevant registration record of village ________, Police Station

__________, District________, was searched and it has come to notice

that the original birth register for the year _____ is not available.

____________________________
(Signature and certificate)

____________________________
(Signature of issuing authority)