procedure:
Remit chalan for Rs.10/- (Late fee)
get Non availability Certificate from Municipality or Thasildar
than file cmp petition to Magistrate
FORM NO.I
(See Rule 5)
BIRTH REPORT
LEGAL INFORMATION
This Part to be added to the Birth register
To be filled by the informant
1. Date of Birth : 12.01.1999
2. Sex of the child : Male
3 Name of child : S.VINOTH
4. Name of the Father : V.SHANMUGAM
5. Name of the Mother : S.VALLI
6. Place of birth
1. Hospital / institution
2. House : D.No.4. Periyathottam 6th Street,
Kangayam Road, Tirupur. 641 604
3.Other Place : NIL
7. Informant’s Name & Address : V.Shanmugam
S/o.Veeraiah
D.No.3E / 27.Prabhu Nagar 2nd Street,
MuthanamPalayam Road,Nallur, Tirupur.641 606
Date :- Signature of / left Thumb
mark of the informant
To be filed by the register
Registration No : Registration Date
Registration unit : District Coimbatore
Town / Village : Tirupur Town
Remarks (it any)
Name and signature of the Registrar
IN THE COURT OF THE JUDICIAL MAGISTRATE NO. II OF TIRUPUR
C.M.P.No /2009
V.Shanmugam ------------- Petitioner
- VS -
The Commissioner
Tirupur Municipal Corporation -------------- Respondent
PETITION FILED UNDER THE REGISTRATION OF BIRTHS AND DEATHS ACT 18 OF 1969 SECTION 13(3) , AND TAMILNADU REGISTRATION OF BIRTH AND DEATH RULES 9 (3) .
1. PETITIONER:-
V.Shanmugam aged (35)Years, Son of Veeraiah, Hindu, now residing at D.No.3E/27 Prabhu Nagar 2nd Cross Street, Muthanampalayam Road, Nallur, Tirupur.641 606
The Address for service to the petitioner is the same as above and care of his counsel Mr.S.Abubacker Siddiq.,B.Com.,LL.B.,B.Ed.,B.L.I.Sc., Advocate, Near Rural Police Station,Kangayam Road, Nallur,Tirupur – 641 606.
2. RESPONDENT :-
The Municipal Commissioner, Tirupur Municipal Corporation, Tirupur.
Address for the service of the respondent is the same as above.
3. That the petitioner is the Father of S.Vinoth whose birth on 12.01.1999 was not registered by the respondent in their birth registry. The petitioner submits that his son was born on 12.01.1999 at D.No.4. Periyathottam 6th Street,Kangayam Road, Tirupur. 641 604 Whose birth was not registered by the respondent in the birth registry.
4. That the petitioner did not intimate the birth of his son because of ignorance of law
relating of birth registration. The birth certificate of the petitioner’s son is required by
the school authorities for the purpose of school admission. The petitioner residence at
D.No.3E/27 Prabhu Nagar 2nd Cross Street, Muthanampalayam Road, Nallur,
Tirupur. 641 606 Tirupur ,Rural Police Station limit. And with in the jurisdiction of the
Hon’ble Court.
PARTICULARS OF BIRTH
i Name of the child : S.Vinoth
ii. Date of birth of the child : 12.01.1999
iii. Sex : Male
iv. Place of birth : D.No.4. Periyathottam 6th Street,
Kangayam Road, Tirupur. 4
v. Permanent Address : V.Shanmugam
S/o.Veeraiah
D.No.3E / 27.Prabhu Nagar 2nd Street,
MuthanamPalayam Road,Nallur, Tirupur.641 606
vi. Father’s Name : V.Shanmugam
Age : 35
Literacy : 8th Std
Nationality : Indian
Religion : Hindu
Name of the Mother : S.Valli
Age : 33 Yrs
Literacy : --
Nationality : Indian
Religion : Hindu
viii. Age at the time of confinement: 23
ix. Order of issue : 2
x. Nature of birth : Normal Delivery
5. That the petitioner most humbly prays that this Hon’ble Court may be pleased to issue necessary direction to the respondent under the Registration of Births and Deaths Act 18 of 1969 section 13(3) , and Tamilnadu Registration of Birth and Death Rules 9 (3), to register the birth of the petitioner’s son and thus render justice.
Counsel for petitioner Petitioner
VERIFICATION
I, the above named petitioner do hereby state and declare that what has been stated above are true and correct to the best of my knowledge and belief and I signed in this at Tirupur on th May, 2009
Petitioner
LIST OF DOCUMENTS
1. 3o.04.2009 Late fee Challan
2. Non – Availability certificate
issued by the respondent
3. 30.04.2009 letter from School Authority
4. Ration Card Xerox
Counsel for Petitioner
IN THE COURT OF THE JUDICIAL MAGISTRATE No. II
Tirupur
Cr.M.P.No. /2009
V.Shanmugam (Aged 35) ------------- Petitioner
S/o Veeraiah,
D.No.3E/27 Prabhu Nagar 2nd Cross Street,
Muthanampalayam Road, Nallur,
Tirupur.641 606
- VS -
The Commissioner
Tirupur Municipal Corporation -------------- Respondent
Tirupur
AFFIDAVIT
V.Shanmugam aged 35 Years, Son of Veeraiah, Hindu, now residing at D.No.3E/27 Prabhu Nagar 2nd Cross Street, Muthanampalayam Road, Nallur, Tirupur.641 606,Rural Police Station limit. And with in the jurisdiction of the Hon’ble Court.
1. I am the petitioner herein and the father of S.Vinoth whose birth on 12.01.1999 was not registered in the respondent registry.
2. I submit that my son was born on 12.01.1999 at D.No.4. Periyathottam 6th Street,
Kangayam Road, Tirupur. 4. Further I submit that my son is studying 5th Standard at Nehru Vidhyalaya Nursery and Primary School, Periyathottam, Tirupur-641 604. And the school authority asked me to produce my son birth certificate.
3. Further I submit that due do ignorance of law and procedure of birth registration the birth of my son S.Vinoth was not registered. The non – registration of my son birth date to the respondent is not wanton or willful or negligent.
Thus I want the birth certificate of my son which is required by the school Authority.
Therefore I prays that this Hon’ble Court. May be pleased to issued necessary direction to the respondent to register the birth of my son and pass suitable orders. and thus render justice
Deponent
Solemnly affirmed and signed before at Tirupur on. th May, 2009
Advocate, Tirupur.
Statistical Information
This part to be detached and sent for statistical processing
8. Town or Village of Residence of the mother:
(a) Name of the Town / Village : Tirupur
(b) Is it a town or village:
(Tick the appropriate entry below)
1. Town 2. Village
(c) Name of District : Tirupur
(d) Name of State : Tamilnadu
9. Religion of the Family:
1. Hindu 2. Muslim 3. Christian
10. Father's level of education : 8th Std
11. Mother's level of education : - -
12. Father's occupation : Barber
13. Mother's occupation : Housewife
14. Age of the mother (in completed years) at the time
of marriage : 18 years
15. Age of the mother (in completed years)
at the time of this birth : 23 Years
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 marriage(s), if any) : 2
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. Method of Delivery: (Tick the appropriate entry below)
1. Natural
2. Caesarean
3. ForcepsNacuum
19. Birth weight (In Kgs.) (If available) : 3 KG
20. Duration of pregnancy (in weeks)
(Columns to be filled are over. Now put signature at left) : 36 weeks
To be filled by the Registrar
Name Code No. Registration No.: Registration Date
District : Date of Birth :
Tahsill : Sex : 1. Male 2. Female
Town/Village : Place of Birth :
Registration Unit : 1.Hospital/Institution 2. House
Name and Signature of the Registrar
IN THE COURT OF THE JUDICIAL MAGISTRATE No. II
Tirupur
Cr.M.P.No.3003 /2009
V.Shanmugam (Aged 35) ------------- Petitioner
S/o Veeraiah,
D.No.3E/27 Prabhu Nagar 2nd Cross Street,
Muthanampalayam Road, Nallur,
Tirupur.641 606
- Vs -
The Commissioner
Tirupur Municipal Corporation -------------- Respondent
Tirupur
PROCESS MEMO
Humble Document filed on bealf of the petitioner before the Hon'ble court on 19th June 2009.It is therefore humbly prayed that this Hon'ble court may graciously be pleased to issue necessary order to the Respondent and thus render justice.
Date:19.06.2009 Counsel for the Petitioner
Place:Tirupur