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 & Signature &

Name of the father of the child Name of the mother of the child

CSC Transaction No: CSC Transaction Date: