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The Assam Registration of Births and Deaths Rules, 1999

Published vide Notification No. HLA 954/99/100, dated 8.9.2000, published in the Assam Gazette, Extraordinary No. 4, dated 8.1.2001

Last Updated 10th February, 2020 [ass068]

(a) "Act" means the Registration of Births and Deaths Act, 1969;

(b) "Section" means a section of the Act;

(c) "Form" means forms appended to these rules and printed and circulated by the State Government under the Act.

(a) persons referred to in Clauses (a) to (f) of sub-section (1) of Section 8 of the Act, shall furnish the necessary particulars to the Manager of the Tea Estate or in his absence to his nominee within fourteen days from the date of birth, death or still birth. The Manager in turn shall furnish the information to the Registrar of the area within seven days from the date or receipt of such information;

(b) the Manager or his nominee will receive information in Form Nos. 1, 2 and 3 as prescribed. The information given in written/orally, shall be recorded in the prescribed form and the Manager shall authenticate the same by putting his signature and seal.

(a) if the registrar is in his possession forthwith enter the name in the relevant column of the concerned form in the birth register on payment of a late fee of rupees five only;

(b) if the register is not in his possession and if the information is given orally make a report giving necessary particulars, and if the information is given in writing, forward the same to the District Registrar for making the necessary entry on payment of a late fee of rupees five only.

(a)	search for a single entry in the first year for which the search is made.	Rs. 2.00
(b)	for every additional year for which the search is continued	Rs. 2.00
(c)	for granting extract relating to its birth or death	Rs. 5.00
(d)	for granting non-availability certificate of birth or death	Rs. 2.00

Format of the Report on the Working of the Act

[See Rule 4]

1. Brief description of the State, its boundaries and revenue districts.

2. Changes in Administration Areas.

3. Explanation about the differences in Areas.

4. Changes in Registration Area - Extension.

5. Administrative set up of the registration machinery at various levels.

6. General response of the public towards this act.

7. Notification of births and deaths.

8. Progress in the medical certification of cause of death.

9. Maintenance of Records.

10. Search of births and deaths register for issue of certificates.

11. Delayed registrations.

12. Prosecutions and compounding of offences.

13. Difficulties encountered in implementation of the Act.

(i) Administrative.

(ii) Others.

14. Orders and instructions issued under the Act.

15. General remarks.

Form No. 1

[See Rule 5]

Birth Report Form

Birth Report

Legal information

[This part to be added to the Birth Register]

To be filled by the informant

1. Date of birth : (Enter the exact day, month and year the child was born e.g. 1.1.2000)

2. Sex : (Enter male or female do not use abbreviation)

3. Name of the child, if any :
(If not named, leave blank)

4. Name of the father :
(Full name as usually written)

5. Name of the mother :
(Full name as usually written)

6. Place of birth : (Tick the appropriate entry 1 or 2 below and give the name of the hospital/
institution or the address of the house where the birth took place)

(1) Hospital/Institution, name :

(2) House address :

7. Informant's name :

Address;

Signature or left thumb mark of the informant

To be filled by the Registrar

Registration No. :

Registration Date

Registration Unit:

Town/Village :

District:

Remarks : (if any)

Name and Signature of the Registrar

Birth Report

Statistical information

[This part to be detached and sent for statistical processing]

To be filled by the informant

8. Town or village or residence of the mother : (Place where the mother usually lives.
This can be different from the place where the delivery occurred. The house
address is not required to be entered)

(a) Name of Town/village :

(b) Is it a town or village : (Tick the appropriate entry below)

(1) Town

(2) Village

(c) Name of District:

(d) Name of State :

9. Religion of the family : (Tick the appropriate entry below)

(1) Hindu

(2) Muslim

(3) Christian

(4) Any other religion : (Write name of the religion)

10. Father's level of education :
(Enter the completed level of education e.g., if studied up to Class VII but passed
only Class VI, write VII)

11. Mothers level of education :
(Enter the completed level of education e.g. if studied up to Class VII but passed
only Class VI, write VII)

12. Father's occupation :
(if no occupation write Nil)

13. Mother's occupation :
(If no occupation write Nil)

(To be filled by the Registrar)

Name :

Code No.

District:

Tahsil :

Town/Village:

Registration Unit:

Form A

[In the case of multiple birth, fill in a separate form for each child and write Twin birth or Triple
birth etc. as the case may be in the remarks column in the box below left]

To be filled by the informant

14. Age of the mother (in completed years) at the time of marriage : (if married more
than once, age at first marriage may be entered).

15. Age of the mother (in completed years) at the time of this birth :

16. Number of children born alive to the mother so far including this child :
(Number of children born alive to include also those from earlier marriages, (if any)

17. Type of attention at delivery : (Tick the appropriate entry below)

(1) Institutional - Government

(2) Institutional - Private or non-Government

(3) Doctor, nurse or trained midwife

(4) Traditional birth attendant

(5) Relatives or others

18. Methods of delivery : (Tick the appropriate entry below)

(1) Natural

(2) Caesarean

(3) Forceps/Vacuum

19. Birth Weight (in kgs) (if available):

20. Duration of pregnancy (in weeks):
(Columns to be filled are over. No put signature at left)
(After completing all columns 1 to 20, informant will put date and signature here):

Registration No. ;

Registration Date :

Date of Birth :

Sex : (1) Male                (2) Female

Place of Birth : 1. Hospital/Institution          2. House

Name and Signature of the Registrar

Form No. 2

[See Rule 5]

Death

Legal Information

[This part to be added to the Death Register]

(To be filled by the informant)

1. Date of death : (Enter the exact day, month and year the death took place e.g. 1.1.2000)

2. Name of the deceased :
(Full name of as usually written)

3. Sex of the deceased :
(Enter male or female do not use abbreviation)

4. Age of the deceased : (If the deceased was over 1 year of age give age in completed
years. If the deceased was below 1 year of age, give age in months, and if below 1
month give age in completed number of days and if below one day, in hours)

5. Place of death : (Tick the appropriate entry 1 2 or 3 below and give the name of the
hospital/institution or the address of the house where the birth took place. If other place,
give location)

(1) Hospital/Institution, name :

(2) House address :

(3) Other place :

6. Informant's name :

Address

Date

Signature or left thumb mark
of the informant      

(To be filled by the Registrar)

Registration No. :

Registration Date :

Registration Unit:

Town/Village ;

District:

Remarks : (if any)

Name and Signature of the Registrar

Death Report

Statistical information

[This part to be detached and sent for statistical processing]

(To be filled by the informant)

7. Town or village or residence of the deceased : (Place where the deceased actually lives.
This can be different from the place where the delivery occurred. The house address is
not required to be entered)

(a) Name of Town/village :

(b) Is it a town or village : (Tick the appropriate entry below)

(1) Town

(2) Village

(c) Name of District:

(d) Name of State :

8. Religion : (Tick the appropriate entry below)

(1) Hindu

(2) Muslim

(3) Christian

(4). Any other religion : (Write name of the religion)

9. Occupation of deceased :

10. Type of medical attention received before death : (tick the appropriate entry below)

(1) Institutional

(2) Medical attention other than institution

(3) No medical attention

(To be detached and sent for statistical processing)

(To be filled by the Registrar)

Name :

Code No.

District:

Tahsil :

Town/Village :

Registration Unit:

(To be filled by the informant)

11. Was the cause of death medically certified ?
(Tick the appropriate entry below)

(1) Yes

(2) No

12. Name of disease or actual cause of death :
(For all deaths irrespective of whether medically certified or not)

13. In case this is a female death, did the death occur while pregnant, at the time of
delivery or within 6 weeks after the end of pregnancy:
(Tick the appropriate entry below)

(1) Yes

(2) No

14. If used to habitually smoke, for how may years;

15. If used to habitually chew tobacco in any form, for how many years :

16. If used to habitually chew arecanut in any form including pan masala, for how many years ?

17. If used to habitually drink alcohol, for how many years?
(Columns to be filled are over. Now put signature at left)
(After completing all columns 1 to 17, informant will put date and signature here):

To be filled by the Registrar

Registration No.:

Registration Date

Date of death :

Sex : (1) Male (2) Female

Age : Years/Months/Days/Hours

Place of Death : (1) Hospital/Institution (2) House

Name and Signature of the Registrar

Form No. 3

[See Rule 5]

Still Birth Report Form

Still Birth Report

Legal Information

[This part to be added to the Death Register]

(To be filled by the informant)

1. Date of Birth : Enter the exact day, month and year e.g. 1.1.2000

2. Sex : (Enter 'male' or 'female')
(Do not use abbreviation)

3. Name of the father :
(Full name as usually written)

4. Name of the mother :
(Full name as usually written)

5. Place of Birth : (Tick the appropriate entry below and give the name of the Hospital/
Institution or the address of the house where the birth took place)

(1) Hospital/Institution	Name:
(2) House	Address :

6. Informant's name :

Signature or left thumb
mark of the informant.

(To be filled by the Registrar)

Name and Signature of the Registrar

Still Birth Report

Statistical information

[This part to be detached and sent for statistical processing]

(To be filled by the informant)

7. Town or village or residence of the mother : (Place where the mother actually lives.
This can be different from the place where the delivery occurred. The house address
is not required to be entered.)

(a) Name of Town/village :

(b) Is it a town or village : (Tick the appropriate entry below)

(1) Town

(2) Village

(c) Name of District:

(d) Name of State :

8. Age of the mother (in completed years) at the time of this birth :

9. Mother's level of education :
(Enter the completed level of education e.g. studied up to Class VII but passed only Class VI, write Class VI)

10. Type of attention at delivery ;
(Tick the appropriate entry below)

1. Institutional - Government.

2. Institutional - Private or non-Government.

3. Doctor, Nurse or trained midwife.

4. Traditional Birth attendant

5. Relatives or others

11. Duration of pregnancy : (in words)

12. Cause of foetal death : (if known)
(Columns to be filled are over. Now put signature at left)
(After completing all columns 1 to 12, informant will put date and signature here) :

(To be filled by the Registrar)

Name and Signature of the Registrar

Form No. 4

[See Rule 7]

Medical Certificate of cause of death

(Hospital in patients. Not to be used for still births)

To be sent to Registrar along with Form No. 2 (Death Report)

Name and signature of the Medical attendant
certifying the cause of death

Date of verification.....................

[See Reverse for Instructions]

(To be detached and handed over to the relative of the deceased)

Doctor .......................

(Medical Supdt. Name of hospital)

Medical Certificate of Cause of Death

Directions for completing the form

Form No. 4-A

[See Rule 7]

Medical Certificate of cause of death

(For non-institutional deaths. Not to be used for still birth)

To be sent to Registrar along with Form No. 2 (Death Report)

Name and signature of the Medical attendant
certifying the cause of death

Date of verification.....................

[See Reverse for Instructions]

(To be detached and handed over to the relative of the deceased)

Doctor............................

Signature and address of Medical Practitioner/
Medical attendant with Registration No.

Form No. 6

[See Rule 8]

Death Certificate

[Issued under Section 12/17]

Name..................................

Sex...................................

Date of death.........................

Place of death........................

Registration No.......................

Date of Registration..................

Signature of issuing authority Seal

Form No. 7

[See Rule 12]

Legal Information

This part to be added to the Birth Register

(To be filled by the informant)

1. Date of birth : (Enter the exact day, month and year the child was born e.g. 1.1.2000)

2. Sex : (Enter male or female do not use abbreviation)

3. Name of the child, if any : (If not named, leave blank)

4. Name of the father : (Full name as usually written)

5. Name of the mother : (Full name as usually written)

6. Place of birth : (Tick the appropriate entry 1 or 2 below and give the name of the hospital/
institution or the address of the house where the birth took place)

(1) Hospital/Institution-Name :

(2) House address :

7. Informant's name :

Address :

Signature or left thumb mark of the informant

(To be filled by the Register)

Name and signature of the Registrar

Form No. 8

[See Rule 12]

Legal Information

[This part to be added to the Death Register]

(To be filled by the informant)

1. Date of death : (Enter the exact day, month and year the death took place e.g. 1.1.2000)

2. Name of the deceased : (Full name of as usually written)

3. Sex of the deceased : (Enter male or female do not use abbreviation)

4. Age of the deceased : (If the deceased was over 1 year of age give age in completed
years. If the deceased was below 1 year of age, give age in months, and if below 1
month give age in completed number of days and if below one day, in hours)

5. Place of death : (Tick the appropriate entry 1 2 or 3 below and give the name of the
hospital/institution or the address of the house where the birth took place.
If other place, give location)

(1) Hospital/Institution, Name :

Address :

(2) House address :

(3) Other place :

6. Informant's name :

Address:

Signature or left thumb
mark of the informant

(To be filled by the Register)

Name and signature of the Registrar

Form No. 9

[See Rule 12]

Legal Information

[This part to be added to the Death Register]

(To be filled by the informant)

1. Date of death : (Enter the exact day, month and year e.g. 1.1.2000

2. Sex : (Enter 'male' or 'female')
(Do not use abbreviation)

3. Name of the father :
(Full name as usually written)

4. Name of the mother : (Full name as usually written)

5. Place of Birth : (Tick the appropriate entry below and give the name of the Hospital/
Institution or the address of the house where the birth took place)

(1) Hospital/Institution Name :

(2) House Address :

6. Informant's name :

Address :

Signature or left thumb
mark of the informant.

(To be filled by the Registrar)

Name and Signature of the Registrar

Form No. 10

[See Rule 13]

Non-availability Certificate

(Issued under Section 17 of the Registration of Births and Deaths Act, 1969)

Signature of issuing authority Seal

Form No. 11

[See Rule 14]

Summary Monthly Report of Births

1. Report for the month of................                        Year..............

2. District.............

3. Town/Village................

4. Registration Unit...............

5. Number of Births Registered..................

(a) within one year of this occurrence.............

(b) After one year of the occurrence...............

Total* (a + b)................

*Total should be equal to the number of Birth Report Forms (Form No. 1) attached with this monthly report.

Signature and name of the Registrar

Submitted to the Chief Registrar/District Registrar

Form No. 12

[See Rule 14]

Summary Monthly Report of Deaths

1. Report for the month of.........              Year...............

2. District.....

3. Town/Village..........

4. Registration Unit.......

5. Details of death registered during the month.......

Note. - Infant and maternal death should be included in the report.

Signature and name of the Registrar

Submitted to the Chief Registrar/District Registrar.

Form No. 13

[See Rule 14]

Summary Monthly Report of Still Births

1. Report for the month of                  Year.....

2. District.......

3. Town/Village........

4. Registration Unit........

5. Number of Still Births Registered.........

* Number of still births registered should be equal to the number of Still Birth Forms (Form No. 3) attached with this monthly report.

Signature and name of the Registrar

Submitted to the Chief Registrar/District Registrar.

Table A-1

Population, Registration Units, monthly returns due and received

(Rural Areas)

State Total

Table A-2

Population, Registration Units, monthly returns due and received

(Urban Areas)

State Total

Table B-1

Live births by place of occurrence, district (Rural and Urban) and towns with
population one lakh and above

Table B-2

Live births by place of residence, district (Rural and Urban) and towns with
population one lakh and above

Table B-3

Time Gap in Registration of Live Births (Rural & Urban)

State Total

Table B-4

Live Births by Sex and Month of Occurrence

Table B-5

Live Births by Type of Attention at Delivery (Rural & Urban)

Table B-6

Live Births by Method of Delivery and Type of Institution for Institutional Births (Rural & Urban)

Table B-7

Live Births by age of the Mother and Birth Order (Rural & Urban)

Table B-8

Live Births by Birth order age of the mother for towns with population 1 lakh and above

Table B-9

Live Births by age and level of education of the mother (Rural and Urban)

Table B-10

Live Births by age and level of education of the mother (Rural and Urban)

Table B-11

Live Births by level of education of the mother and Birth Order (Rural and Urban)

Table B-12

Live Births by age of mother and Birth Order for each level of education of the mother (Rural)

Table B-13

Live Births by age of mother and Birth Order for each level of education of the mother (Urban)

Table B-14

Live Births by age of the mother, Birth Order and religion of the family (Rural)

Table B-15

Live Births by age of the mother, Birth Order and religion of the family (Urban)

Table B-16

Live Births by occupation of the father and Birth Order (Rural and Urban)

Table B-17

Live Births by occupation of the mother and Birth Order (Rural and Urban)

Table B-18

Live Births by duration of marriage of the mother and Birth Order (Rural and Urban)

Table B-19

Live Births by duration of marriage and age of the mother (Rural and Urban)

Table B-20

Live Births by duration of pregnancy and Birth Weight (Rural and Urban)

Table B-21

Live Births by age of the mother and (Rural and Urban)

Table B-22

Live Births by Birth Order and Birth Weight (Rural and Urban)

Table B-23

Live Births by methods of delivery and age of the mother (Rural and Urban)

Table D-1

Deaths by place of occurrence, Districts (Rural and Urban) and Towns with population one lakh and above

Table D-2

Deaths by place of residence, Districts (Rural and Urban) and Towns with population one lakh and above

Table D-3

Time Gap in registration of deaths (Rural and Urban)

Table D-4

Deaths by sex and month of occurrence

Table D-5

Deaths by type of attention at death (Rural and Urban)

Table D-6

Deaths by age, sex and religions of the deceased (Rural and Urban)

*Minor religious group may be classified into others.

Table D-7

Deaths by age, occupation and sex (Rural)

Table D-8

Deaths by age, occupation and sex (Urban)

Table D-9

Deaths by age, occupation and sex (All Areas)

Table D-10

Deaths by cause of death, age and sex for all deaths medically certified or not

Table D-11

Deaths by cause of death, age and sex for medically certified deaths

Table D-12

Infant deaths by place of occurrence, Districts (Rural and Urban) and Towns with population one lakh and above

Table D-13

Infant deaths by place of residence, Districts (Rural and Urban) and towns with population one lakh and above

Table D-14

Infant deaths by age and sex (Rural and Urban)

Table D-15

Pregnancy related deaths by age group of the deceased and cause of death for medically certified deaths (Rural and-Urban)

Table D-16

Pregnancy related deaths by age group of the deceased and cause of death for all
deaths medically certified or not (Rural and Urban)

Table D-17

Pregnancy related deaths by age and level of education (Rural and Urban)

Table D-18

Pregnancy related deaths by age and occupation (Rural and Urban)

Table D-19

Deaths by selected cause of death, age, sex and habit (Rural)

Table D-20

Deaths by selected cause of death, age, sex and habit (Urban)