Civil Status (Notification of Birth and Death Forms) Regulations, 2022

Statutory Instrument 57 of 2022

Citation
Statutory Instrument 57 of 2022
Primary work
Civil Status Act
Date
5 May 2022
Language
English
Type
Statutory Instrument
Seychelles
Civil Status Act

Civil Status (Notification of Birth and Death Forms) Regulations, 2022

Statutory Instrument 57 of 2022

  • Published on 5 May 2022
  • Assented to on 20 April 2022
  • Commenced on 5 May 2022
  • [This is the version of this document from 5 May 2022.]
In exercise of the powers conferred by sections 33(3) and 81(3) of the Civil Status Act, as amended, the Minister responsible for health makes the following regulations—

1. Citation

These regulations may be cited as the Civil Status (Notification of Birth and Death Forms) Regulations, 2022.

2. Notification of Birth Form

The form set out in Schedule 1 shall be the Notification of Birth Form for the purposes of the Act.

3. Notification of Death Form

The form set out in Schedule 2 shall be the Notification of Death Form for the purposes of the Act.

4. Variation of forms

The Principal Secretary responsible for health may modify, alter or add such words or phrases to the certificate contained in Schedule 1 and any such variation shall not affect the validity or regularity of the form.

Schedule 1 (Regulation 2)

Notification of birth

Notification of birth

(Please note that all sections of this form must be completed wherever possible)Facility Name: ______ Birth Record#: __________

Particulars of birth

Date of Birth: DD MM YYYY Sex: [ ] Male [ ] Female Time of birth:First Name of Child (if any): __________________Middle Name(s) 1. ____________________ 2. ______________________Surname of Child ____________________Type of Birth: Live [ ] Still Birth [ ] No of infant(s): Single Birth [ ] Multiple birth [ ]

Particulars of mother

First Name: ________________________Middle Name(s): ________________________Sumame(s): ________________________NIN/Passport Number ________________________Address: ________________________Email: ________________________Country of birth: ________________________Date of Birth: DD MM YYYYOccupation/ Profession: ____________________Civil Status of Mother:Single [ ] Married [ ] Divorced [ ] Widowed [ ] Number of previous births for the Mother:I ____________________ (Print name), hereby certify that the above information which I have given to the Officer of the Civil Status is true and correct to the best of my knowledge, information and belief.Signed: ________________________ Date: DD/MM/YYYYWitness by: ____________________________________________Full Name of Witness________________________Signature________________________DD/MM/YYYY

Schedule 2 (Regulation 3)

Notification of death

Notification of death

(Please note that all sections of this form must be completed wherever possible)Medical Facility: ____________________ Death Record#: ______ Entry date: DD-MM-YYYY

Particulars of death

First Name: ________________________Middle Name(s) 1. ________ 2. ________ 3. ________Surname ____________________ NIN ______________________Telephone ____________________ Email __________________Alias: ________________________ Sex: Male [ ] Female [ ]Date of Death: DD MM YYYY Date of Birth: DD MM YYYYPlace of Death: ______________ Island: ______________Civil Status: Single [ ] Married [ ] Divorced [ ] Widowed [ ]Last Known Address:________________________________________________________________________Country of Birth: ______________I ________________________ (Print name), hereby certify that the above information which I have given to the Officer of the Civil Status is true and correct to the best of my knowledge, information and belief.MADE this 20th day of April, 2022.Peggy VidotMinister for Health
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History of this document

05 May 2022 this version
Commenced
20 April 2022
Assented to