The Self Declaration Form For Birth Certificate is a crucial document in the Indian civil registration system, designed to facilitate birth registration when standard documentation is insufficient or in cases of delayed registration. It is governed by the Registration of Births and Deaths Act, 1969, and associated state-specific rules. This form becomes necessary in various scenarios, including cases where hospital records are unavailable, for home births, or when there has been a delay in registration beyond the statutory period. The declaration includes comprehensive details about the child's birth, parents' information, and circumstances of birth, serving as a formal affidavit. The document must be executed in accordance with local municipal requirements and may require additional supporting documentation or witness statements depending on the specific circumstances of the case.
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1. Title and Purpose: Clearly states that this is a Self Declaration Form for Birth Certificate
2. Declarant Details: Full name, age, address, and identification details of the person making the declaration
3. Child's Details: Complete information about the child including date, time and place of birth, gender, and weight at birth
4. Parents' Details: Full names, ages, nationalities, and addresses of both parents
5. Place of Birth Details: Specific information about the hospital/institution/house where birth occurred, including complete address
6. Declaration Statement: Formal statement declaring that all information provided is true and correct
7. Verification Clause: Statement verifying the contents of the declaration with place and date
8. Signature Block: Space for declarant's signature and details
1. Delayed Registration Explanation: Required when the birth registration is being done after the statutory period, explaining reasons for delay
2. Witness Details: Names and details of witnesses who can verify the birth, particularly needed in cases of home births or delayed registrations
3. Guardian Details: Required when the declaration is being made by a legal guardian rather than parents
4. Previous Registration Attempt: Details of any previous attempts to register the birth, if applicable
5. Special Circumstances: Any unusual circumstances surrounding the birth that need to be declared (e.g., birth during transit, abandoned child)
1. Annexure A - Identity Proof: Copies of valid ID proofs of the declarant (such as Aadhaar Card, PAN Card, or Voter ID)
2. Annexure B - Address Proof: Documents proving current residential address
3. Annexure C - Supporting Documents: Any additional documents supporting the birth details (hospital records, immunization cards, etc.)
4. Annexure D - Witness Statements: Written statements from witnesses, if applicable
5. Annexure E - Medical Proof: Any available medical records, hospital discharge summary, or doctor's certificate related to the birth
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