Karnataka Birth Certificate Format Form PDF Details

In the southern state of Karnataka, India, the process of recording and certifying births is governed by a specific document known as the Karnataka Birth Certificate Format form. This crucial form operates under the guidelines set by the Registration of Births and Deaths Act, 1969 (RBDACT) and is further regulated according to the Karnataka Registration of Births and Deaths Rules, 1999. Intended to certify the details of an individual's birth, it serves a fundamental role in legal and civil documentation within the state. The form is meticulously designed to capture essential information including the name, sex, date and place of birth of the individual, alongside the names of the parents and their addresses at the time of the child's birth as well as their permanent addresses. Each entry is backed by an original record from the birth register of the specified village or town, making it a vital piece of documentation for citizens. With fields for registration number, date of registration, and any necessary remarks, the form also details the date of issue and includes the signature and seal of the issuing authority, underscoring its authenticity and importance in upholding the state's directive to ensure every birth and death is officially registered. The inclusion of the issuing authority's address provides a clear point of contact for verification or further correspondence, making the Karnataka Birth Certificate Format form an indispensable record in the life of Karnataka's residents.

QuestionAnswer
Form NameKarnataka Birth Certificate Format Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbirth certificate pdf download, download birth certificate online, death certificate karnataka pdf, karnataka birth certificate pdf

Form Preview Example

 

 

 

 

 

 

 

 

 

 

5

 

No.

 

 

 

 

 

Form 5

 

 

 

 

 

 

 

 

 

 

GOVERNMENT OF KARNATAKA

Chief Registrar of Births and Deaths

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BIRTH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE RBDACT, 1969 AND RULE 8/13 OF THE KRBD RULES, 1999)

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This is to certify that

the following information has been taken from the original record of birth

which is the register for

……………….…….. (village/town) of ………………………taluk of

……………………….district of Karnataka State.

 

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Name …………………………………..

Sex …………………………………

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Date of Birth………………………….. Place of Birth………………………

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Name of Mother ………………………

Name of Father …………………….

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Address of parents at the time of birth of

Permanent address of parents:

the child:

 

………………………………………………

…………………………………………

………………………………………………

…………………………………………

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…………………………………………

 

 

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Registration No. :……………………….Date of Registration :…………………

 

 

 

 

 

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Remarks (if any) ……………………….

 

Date of Issue …………………………..

 

 

 

 

 

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Signature of Issuing Authority

 

Address of the issuing authority

 

 

 

 

 

 

……………………………………

 

……………………….……………

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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“Ensure registration of every birth and death”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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