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					                   BIRTH & DEATH ANNUAL REPORT 2010
                                             PROFORMA I

                              No.of
                              registration       No. live       No. of Still       No.of      No. of
SL.No Name of Panchayat       Units under        birth          bith               death      infant       Remarks
                              the local          regitred       registered         registered death
                              registrar
    1                     2                  3              4                  5            6          7         8
                            BIRTH & DEATH ANNUAL REPORT 2010
                                             PROFORMA II

                            No of searches                     Amount of Amount of
                                             No. of extract                    extract                Amount of




                                                                                                                    Remarks
                             made under                         search fee                  No. of
SL.No




                                                issued                           fee                 fee realised
        Name of Panchayat    sections 17                         realised                   NAC
                                                                              realised                under rule
                                                              under rule 13                issued
                             For     For      For     For                                              13 (1) (d)
                                                               (1) (a) & (b) under rule
                            birth   death    birth   death                    13 (1) (c)
1              2              3       4        5       6             7            8          9           10         11
           BIRTH & DEATH ANNUAL REPORT 2010
                            PROFORMA III


                                 No.of delayed        Amount of fee realised
                                                                                Other
SL.No




                            registration made under          as per
        Name of Panchayat                                                      receipts   Remarks
                                                                               (specify
                            Rule     Rule    Rule     Rule    Rule     Rule
                            9 (1)    9 (2)   9 (3)    9 (1)   9 (2)    9 (3)
1               2             3        4       5        6       7        8        9         10
              BIRTH & DEATH ANNUAL REPORT 2010
                               PROFORMA IV

                                                                           No.of      amount fee
                               No of        No.of
                                                          amount fee       cases      realised for
SL.No




                            Prosecution    offences
        Name of Panchayat                               realised under    coming      insertion of   Remarks
                             launched    compounded
                                                                           under      name under
                            under sec.23 under sec.24
                                                                         sec.13 (4)     Rule.10
                                                        Sec.23 Sec.24
1              2                 3            4           5      6           7             8           9
         BIRTH & DEATH ANNUAL REPORT 2010
                            PROFORMA V


                               No. Events notified by the           No.of
                             notifiers like midwife, medical        death
SL.No




        Name of Panchayat     attendents etc. Under sec.10        reported    Remarks
                                                                  by Police
                                                                  authority
                            Birth      Death        Still birth
1              2                3           4           5            6          7
         BIRTH & DEATH ANNUAL REPORT 2010
                           PROFORMA VI


                                       Details of exteracts under sec.12
SL.No




                                                             No. of
        Name of Panchayat Pending at                                                 Remarks
                                                             extracts   Balance at
                          the         due for the
                                                    Total    issued     the end of
                          beginnig year
                                                             during the the year
                          of the year
                                                             year
1               2               3          4          5           6         7           8
For Deputy Director of Panchayats
             BIRTH & DEATH ANNUAL REPORT 2010
                                PROFORMA VII




                                          No.of inspection during
                              No. of




                                                                                                                Publicity measured
                                                                                            Extend of delayed
                                                                    Position of supply of
                             training




                                                                                                                  adopted if any
                                                                         forms and




                                                                                               registration
                             courses                                                                                                   Difficulties
                                                                    registers(1.supplied
SL.No




                                                   2010
             Name of       attended by                                                                                               encountered in
                                                                      by Gramaleksmi                                                                Remarks
        registration units  official of                                                                                               registration
                                                                        Mudralayam,
                               civil                                                                                                    activities
                                                                      2.printed locally,
                           registration
                                                                      3.others(specify)
                           during 2010

1               2               3                 4                          5                    6                   7                    8          9
                                                             BIRTH & DEATH ANNUAL REPORT 2010
                                                                               PROFORMA VIII




                             Date of computerisation of
                                                                                             Details of digitisation of data




                                 registration work
SL.No




             Name of                                        Period of which                        Period of which     Period of which data
                                                                              No.of registration




                                                                                                                                              Remarks
        registration units                                    digitisation                         process is going          yet to be
                                                                               computerised
                                                              completed                                  on               computerised

                                                            Birth   Death   Birth   Death   Birth   Death   Birth   Death
                                                                  ……..    ……..    ……..    ……..    ……..    ……..
                                                          …….. To ……. To ……. To ……. To ……. To ……. To ……. To …….   …….. To …….
                                                  BIRTH & DEATH ANNUAL REPORT 2010
                                                                      PROFORMA IX
                                                          Hospital Kiosk Project
                                                                           Details of registration through hospital kiosk durin



                     computerisation
                      of registration
                          Date of
        Name of
SL.No




                           work
        registrati
        on units                                                 Name of No of registration through
                                        No. of hospitals covered hospitals hospital kiosk during 2010
                                        Govt HospPrivate Hosp covered Birth             Death     Still Birth
RT 2010

through hospital kiosk during 2010


           Percentage of registration
           through hospital kiosk to total
           registration
           Birth      Death     Still Birth

				
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