ºë¾à ÄÌ¨à ªºÉì ´ ¤ÀàÀæ¾à¾Æ¨à ÀèÎÂè ¿É ¨ÎÆêºë Àò¨åÊÆ (24 ïÉ¾è Éª¾àºÆø )òÞ ºÇ¶¶Æ×¯ÆÐ¹Æ ½¹ÆÎ¹¹Æ¹½Æ½È» £½È¶Æ¶¾Æ (24 ºÆ ¼Èâ)

Registration B 6(A 4* S.,T. & E.)

DECLARATION OF BIRTH AFTER THREE MONTHS (Section 24)(¤Àº ÌèóÉì ¼úÌàºòè¨à¨ïÆà ¼úÌàºòè¨à ïÈà¨ ïÉº ï¨Èè¾àÄ ÆæÑÄ Ì¿Íå)(½¹ÆÚ ±ºÆ¹¶Æ¶ Ì¹ÝºÆ¹Ð¶È Ì¹ÝºÆ¹Ð¶È¹Æ ¹¶Èâ¯Ç¼Ý¯ÆÐ Í·¼»Ç¯ £Ù¹Æ¹¹Æ¹´¾Æ ÍÁ®ÕºÆ)(To be forwarded direct to the District Registrar of the District in which the birth occurred)ïÄÍú ¾ Ì¿Í¾à Î¼ÇæÉåïªà ¤ÀàÀæ¾à¾Æ ÄåÌ ºë¾¨à ¡æºëÎº¼û ÈèÆåÀ¼úâ ¨Ç ï¾åÄæºø ïÍÆú¾à¼ ¦Æ ÈèÆåÀ¼úâ ¨ø×Ä´ ¼æ¾à ¡ÉÊñ ïÍÆú¾à¼ ¦Ä¤ÀàÀæ¾à¾Æ Íå ¾ ÀèÎèÂ¿É ÈèÆåÀ¼úâ ¨ø×Ä´ ¡ÉÊñÉ¾ ïÄÍú ÀÍº Ì¿Í¾à ¨Çæ¸ê Äïªà ¼æ¾ªæ¾ùï ¡¾à¼Ä´ ¾øÉæÇ¼ú ÌæÂç ¨Çæ¸ê ïÈÌ....................................................................................................................................................................... À¼úâ ..................................................................................................
................................................................................................................................................. É¾ ÄÄ ïÄÆú¾à Àò¨åÊ ¨Ç.
¥¹Æ¹¶Æ¶È¼¶Æ¶È½Æ Ð½È¯Æ¯¹Æ¹´Æ´ ¿ÆÎ¿ ½¹ÆÚ òÞ (3) ºÇ¶¶Æ×¯ÆÐ¿Æ ¹¶Èâ Ì±»Æ»¹Æ¹´Ç¶ÈÝ·Æ× ¥¹ÆÌ¹Çá× ¹¶Èâ Ì±»Æ»¹Æ¹´ÍÁ®Ý¹Æ¹¶Ç¾Æ ............................................................................ ÁÇ±ÈÜºÆ ...........................................................................
................................................................................................................ ©¹ÁÝºÇ¯È» ·Ç ¿ÆÎ¿ÙÎ´» ½¹ÆÚºÆ Ì¹»ÝºÆ±ºÆ¹·Æ¶ºÇ¸ ½Æç½È» Á¼+Æ¯¿Æ ·Ç £½È·Æ¶ÁÎ¼ßºÆ ·ºÆ¸ÁÎ¼ßºÆ §®Îº»Ç¸ÎÁ Ì»¹Î¶ ¥¶Æ¶Ç¾Æ ¼¶È¯Æ¯ÈÎ¸ Ì±»Æ¯ÈÍ½°
Whereas the birth of the child herein named has not been registered within three months and it is now necessary to register the same I,_________________________________________________________ of ________________________________________________________________________________ hereby declare that the following particulars to be registered concerning its birth and name are true andcorrect to the best of my knowledge and belief :1.

¤ÀàÀæ¾à¾Æ ÌèóÉì ¼ú¾Æ Íå Ìà»å¾Æ1
½·Æ¶ ¶È¯¶ÈÜºÆ ¥´ÛºÆ1Date and place of birth1ï¨å µåÊÆ Íå ¼úÌàºòè¨à¨Æ
¹¶Èâ¹Æ ¼ÈâºÆ £¶ Ì¹ÝºÆ¹Ð¶ÈÜºÆ
Registration Division and District

2. ¾Ä
Ì¹»¼Æ
Name
3. Ìàºòé ÀêÇæË ÃåÉÆ ¹Ç¾Æ Sex

4. ÀèÆåïªà¶¯¹Æ¹
Father’sÌÀìÚ¸ ¾Ä
Ûá¹ÆÌ¹»¼Æ
full name¤À¾à ¼ú¾Æ ½·Æ¶ ¶È¯¶Èdate of birth¤À¾à Ìà»å¾Æ
½·Æ¶ ¥´ºÆPlace of birth°åºøÆ 2 ±Ç¶È 2 race2ººàºàÉÆ ïÍåà ÉîºàºøÆ£·Æ¶× £¾Æ¾× Ì¶ÇÀÈ¾Æ
rank or profession

5. ÄÉïªà¶Ç»Æ ÆMother’sÌÀìÚ¸ ¾ÄÛá¹ÆÌ¹»¼Æ
full name¤À¾à ¼ú¾Æ ½·Æ¶ ¶È¯¶Èdate of birth¤À¾à Ìà»å¾Æ
½·Æ¶ ¥´ºÆPlace of birth°åºøÆ 2 ±Ç¶È 2 race2
À¼úâ Ìà»å¾Æ*Á¶ÈÜºÈ´ºÆ *residence*ÉÆÌ * Á»× * age*

6. ÄÀèÆ¾à ÉåÍ¨¼?*
Ì¹½Æ½Ç¼Æ ÁÇ¯³Æ Ì±»Æ¶Á¼Æ¯¿Ç ?*Were parents married ?*7. Äêºàºå Èâ¨åï¤À¾àï¾à ¾ 3
¹Ç´Æ´ ¥¾+ÆÎ¯½Æ
½·Æ¶Á¼Ç £Á¼Æ3
If grandfather bornin Ceylon 3§Íêïªà ÌÀìÚ¸ ¾Ä
Ûá¹ÆÌ¹»¼Æ
his full name§Íê ¤À¾à ÉÚËÆ
½·Æ¶ ÁÝ´ºÆ
his year of birth§Íê ¤À¾à Ìà»å¾Æ
½·Æ¶ ¥´ºÆ
his place of birth[¡.Àè.Â./ º°¹° ¹Ç° / P.T.O.

8. ÀèÆå Èâ¨åï ï¾å¢Àè¼ äÄêºàºå Èâ¨åï ¤À¾àï¾à ¾
äÄêºàºåïªà 3¶¯¹Æ¹ ¥¾+ÆÎ¯¾Æ ½¯Æ¯Çº¾Æ ¹[´Æ´ ¥¾+ÆÎ¯
¾Æ ½·Æ¶Ç¾Æ ¹[´Æ´ 3
If the father was not born in Ceylon, and if great
grandfather born in Ceylon the great grandfather’s3ÌÀìÚ¸ ¾ÄÛá¹ÆÌ¹»¼Æ
full name¤À¾à ÉÚËÆ
½·Æ¶ ÁÝ´ºÆ
year of birth¤À¾à Ìà»å¾Æ
½·Æ¶ ¥´ºÆ
place of birth

9. Àò¨åÊ¨Æåïªà ÌÀìÚ¸ ¾Ä À¼èâ Ìà»å¾Æ ÌÍ ¨ÉïÇ¨ë ÉÊïÆ¾à ¡åÇâÌÀÆ¾àï¾à ¼ Æ¾à¾
¼¶È¯Æ¯ÈÎ¸ Ì±»Æ¹Á¼È Ûá¹Æ Ì¹»¼Æ, Á¶ÈÜºÈ´ºÆ, ©¸ ÛÎ½¾Æ
¶¯Á¾Æ Ì¯ÇÕ¯Æ¯È½Ç¼Æ
Declarant’s full name and residence, and in what capacity hegives information
10. ¤ÀàÀæ¾à¾Æ ¡É°åº¨ ¼ÇæïÉ¨à ÌÂ¾à½Éì ¨ïÈ¨ ïºåÇºëÇæ ïÈà©¾ïÆà¡æºëÎºà¨Ç ªæ¾ùÄ´ ¤ÉÄ¾å ¾ ÄÀèÆ¾àïªà ¡ºàÌ¾à 4
Í±Ç¼¹Æ¿ÆÎ¿»Ç ¶¯¹Æ¹¸È Á¼+Æ¯Î¿¹Æ ¹¶Èâ¹ÆÚ¶Æ¶¯¶Æ¶È¾Æ ©á¶ÍÁ®ÕÌº½Ç¾Æ Ì¹½Æ½Ç¼È Î¯Ì»Ç¹Æ¹ºÆ 4Parents’ signatures in the case of illegimate child if thefather’s particulars are to be entered in the registrar 4ÀèÆåïªà¶¯¹Æ ¹ 
Father’sÄÉïªà¶Ç»Æ ÆMother’s........................................................................
¼æ¾ê ï¼¾à¾å. ¶¯Á¾Ç¿¼Æ° Informant.

¾øÌè Äê¼à¼ÇÆ5ª½Æ½ Û¶Æ¶ÈÎ¼5
Appropriate stamp 5Àò¨åÊÆ ¨Î ¡Æ Äê¼à¼ÇÆ ¤¶ ï¨ ¡ºàÌ¾ ÌÍ ¼åºÄºà ïÆ¼úÆ ÆêºëÆú.
¼¶È¯Æ¯ÈÎ¸ Ì±»Æ¹Á¼Ç¾Æ ÒÝ¯ÆÌ¯Ç¹Æ¹ÛºÆ ¶È¯¶ÈÜºÈ´¹Æ¹´ ÍÁ®ÕºÆ°
To be initialled and dated by Declarant.
20.................... ¨à Éì .........................................................................ÄÌ..................................................¼ú¾.........................................................................................................Äå ¢¼úÖïÆà¼û Àò¨åÊ ¨Ç¾ È¼û.
20°°°°°°°°°°°°°°ºÆ ÁÝ°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ºÆ °°°°°°°·Æ ¶È¯¶ÈÞ°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°¾Æ © Û¸ÈÎ¾¾Æ ¼¶È¯Æ ¯ ÈÎ¸ Ì±»Æ ¶ Ç¼Æ °Declared before me at...................................................................this.......................................................day of..................................20...............

........................................................................
ÌÍ¨åÇ ïÇÔÌà´òåÚ °¾ÇåÈà/ ¡ºøïÚ¨ ¼úÌàºòè¨à ïÈà¨/ÌåÄ ¾øÌêÇæ ¾æºïÍåºà ¼úÉêÇæ ï¨åÄÌåÖÌà 6.
§¶ ¹¶ÈÁÇ¿¼Æ ¶Î¾Îº £¶È¹¶È/ Íº¾¶È¯Ì¹ÝºÆ¹Ð¶È¹Æ ¹¶Èâ¯Ç¼¼Æ/ ±ºÇ¶Ç¸ ·É¶ÁÇ£¾Æ¾× ±¶Æ¶È» £¶È¯Ç¼È 6
Assistant Registrar-General/Additional District
Registrar/Justice of the Peace orCommissioner for Oaths 6.

¡å³åÉ ¯´Æ´Î¿ orderïÄÄ Àò¨åÊ ÀºòïÆà Ì¿Í¾àïÉ¾ ¤ÀàÀæ¾à¾Æ ÈèÆåÀ¼úâ ¨Ç¾ ïÈÌ...................................................................................................................................................................... ¼úÌàºòè¨à¨ïÆà............................................................................................................................. ï¨å µåÊïÆà ¤ÀàÀæ¾à¾ ïÈà¨ ºæ¾´ ïÄÆú¾à ¡å³å ¨Ç.
¥·Æ ¶ £½È¶Æ ¶ ¾Æ Á¼+Æ ¯ Ç´Æ ´ ¹Æ ¹ ´Æ  Ý¯Æ ¯ È½ ½¹Æ Î ¹°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°Ì¹ÝºÆ ¹ Ð¶È°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°¼È¸Æ ½¹Æ Ú ¹¶Èâ¯Ç¼¼Æ ¹¶ÈâÌ±»Æ Ü ºÆ ¹  ¥¶Æ ¶ Ç¾Æ ¯´Æ ´ Î¿´¹Æ ¹ Õ¯È¼Æ °The Registrar of Births of ................................................................................division in the..............................................................Districtis hereby ordered to register the birth of which particulars are given in this declaration.
¼úÌàºòè¨à ïÈà¨/ïÇÔÌà´òåÚ °¾ÇåÈà ¨åÆñþåÈÆ
20.................... ¨à Éì .................................................ÄÌ ..................................................¼ú¾¼ûÆ.
20°°°°°°°°°°°°°°ºÆ ÁÝ°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°°° ºÆ °°°°°°°·Æ ¶È¯¶È°District Registrar’s Office/Registrar-General’s Office........................................................................
¡ºøïÚ¨ ¼úÌàºòè¨à ïÈà¨/ïÇÔÌà´òåÚ °¾ÇåÈà.
Íº¾¶È¯ Ì¹ÝºÆ¹Ð¶È¹Æ ¹¶Èâ¯Ç¼¼Æ/¹¶Èâ ¯Ç¼È»¯¼Æ¶Æ¶¼Æ.
AddI. District Registrar/Registrar-General.

........................................................................
Ì´Íï¾Íú ¡â¨Æ Íå ¼ú¾Æ (ïÈà¨ Ìè¾à ÀèÇÆ ÆêºëÆ.)(¹¶Èâ¯Ç¼¼Æ ·È¼¹ÆÚÁ×) ¹¶Èâ ¥¾¯Æ¯ÛºÆ ¹¶ÈâÌ±»ÆÜºÆ ¶È¯¶ÈÜºÆ
No. and date of the registration (to be filled in by the Registrar)..................................................................................................................* ¤ÀàÀæ¾à¾ ÌèóÉì ¡ÉÌà»åï¼û ÀæÉºø ººàºàÉÆ ¡¾êÉ Ì¿Í¾à ¨Î ÆêºëÆè.
* ¥·Æ¶¯Æ çÕ¯¿È¾Æ ·È¼¹Æ¹¹Æ¹´ÍÁ®» Á¼+Æ¯¿Æ ¿ÆÎ¿ ½·Æ¶ ¯Ç¾¶Æ¶Èß¿Æ¿ Á¼+Æ¯¿ÇÝ¶Æ¶¾Æ ÍÁ®ÕºÆ°* Particulars entered in the items should be as at the time of birth
1. ÄåÌÆ¼ ¡ÉêÇæ¼àï¼à ¡ÉÌå¾ ï¨å´Ì¼, ¡¨ëÇæ ÉÈè¾à ïÆå¼å ¼ú¾ ÀèÎèÂ¿ ÌèÆõ ÌàºÇ ïÄÍú ï ÀèÎèïÉÈ´ Ì¿Í¾à ¨Ç¾ê - 1953 (À¾Ìàºëï¾à)°¾ÉåÖ ÀÎÄêïÉ¾ø ¼ú¾
2. ï¼ÄÎ ïÍåà ÄÇ¨à¨È °åºé¾à ÌàºÇ ¨ø×ï¼û “Èåâ¨ø¨ ï¼ÄÎ” ¾æºïÍåºà “¢¾à¼úÆå¾ê ÄÇ¨à¨È” ¨øÆå ïÍåà ¡ÉÊñ ÀÖ¼ú ïÆå¼¾ê.
3. ÉåÍ¨ Äå ÀèÆ¾àïªà ¼ÇæïÉ¨ë ÌÂ¾à½É ¾ ÀèÆ À¨àËïÆà Äêºº
à ¾êÉ¾à¼ ä Äêºº
à ¾êÉ¾à¼ ÌÂ¾à½ ïºåÇºëÇæ ÌæÀÆúÆ ÆêºëÆ. ¦ïÌà ¾ìÀ¾à Ìê°åºï¾å¨Î ¼ÇæïÉ¨ë ÌÂ¾à½É ¾ Ä À¨àËïÆà Äêºàº¾êÉ¾à Íå äÄêºàº¾êÉ¾à ÌÂ¾à½ ïºåÇºëÇæ ÌæÀÆúÆ ÆêºëÆú.
4. ¤ÀàÀæ¾à¾Æ ¡É°åº ¼ÇæïÉ¨ë ÌÂ¾à½É Éì ¨ïÈ¨ ÀèÆåïªà ïºåÇºëÇæ ¤ÀàÀæ¾à¾ ïÈà©¾ïÆà Ì´Í¾à ¨ø×Ä´ ¾ ÄÀèÆ ï¼ï¼¾åÄ 10 ïÉ¾øï¨å´êïÉÍú ¡ºàÌ¾à ¨Î ÆêºëÆú.
5. Àò¨åÊÆ ¨Ç¾ È¼àï¼à ¤ÀàÀæ¾à¾Æ ÌèóÑ ÄåÌ ï¼åÎÍ¨à ¡æºëÎº¼û ¾ Äê¼à¼ÇÆ ÇæÀèÆÈ¨ Äê¼à¼ÇÆ¨à Æ ÆêºëÆú. Àò¨åÊÆ ¨Ç¾ È¼àï¼à £´ ÀÌêÉ
¾ Äê¼à¼ÇÆ ÇæÀèÆÈà 5 ¨ Äê¼à¼ÇÆ¨à Æ ÆêºëÆú.
6. ¡¾ÉÊñ É®¾ ¨Àå ÍÖ¾à¾.
1. ¶È¯¶È ±ºÆ¹·Æ¶ºÇ¸ ©¾Æ¾Ç Á¼+Æ¯Î¿ÜºÆ Ì¯ÇÕ¯Æ¯âºÆ : ºÇ¶¶ÆÎ¶ÜºÆ ÁÝ´¶Æ¶È ¯Î´±È¹Æ¹Ð¶ÈÎ»ÜºÆ ©á¶Æ¶È½Æ Ì¯ÇÕ¯Æ¯âºÆ(§-ºÆ) 1953 ºÆ («ºÆ¹¶Æ¶ÈòÞ) ¤®Õ Î¶ (²¸Á¼È) ºÇ¶ºÆ Û¶¾Ç·Æ ¶È¯¶È
2° ¶ºÈÀ¼Æ £¾Æ¾× Í±Ç¸¯Î¼ “¥¾+ÆÎ¯¶Æ ¶ºÈÀ¼Æ” £¾Æ¾× “¥¾+ÆÎ¯±Æ Í±Ç¸¯¼Æ” £¾Æ¾× “¥·Æ¶È»¶Æ ¶ºÈÀ¼Æ” £¾Æ¾× “¥·Æ¶È»Í±Ç¸¯¼Æ” ©¸ Á¼È¶Æ¶¾Æ ÍÁ®ÕºÆ°
3° Ì¹½Æ½Ç¼Æ ÛÎ½¹Æ¹ ÁÇ¯³ÆÌ±»Æ× ½·Æ¶ ¬ÝÁ¼ÇÝ·Æ¶Ç¾Æ ¶¯¹Æ¹ ÁÀÈ¹Æ¹Ç´Æ´¸×ºÆ, ¹[´Æ´¸×ºÆ Ì¹»Î¼ÜºÆ, Ì¹½Æ½Ç¼Æ
ÛÎ½¹Æ¹ ÁÇ¯³ÆÌ±»Æ»Ç× ½·Æ¶  £Á¼Æ¯¿Æ ÛÎ½¹Æ¹ ÁÇ¯³Æ Ì±»Æ»Ç £Á¼È ¶Ç»ÆÁÀÈ¹Æ ¹Ç´Æ´ £¾Æ¾×¹[´´Æ ¸È Ì¹»Î¼ÜºÆ Ì¯ÇÕ¶Æ¶¾Æ ÍÁ®ÕºÆ°
4° Ì¹½Æ½Ç¼Æ ÛÎ½¹Æ¹ ÁÇ¯³Æ Ì±»Æ»Ç× ½·Æ¶ ¬ÝÁ¼Æ Â»¶Æ¶È¾Æ ¿ÆÎ¿»È ¶¯¹Æ¹Î¸¹Æ¹½Æ½È» Á¼+Æ¯¿Æ ½¹ÆÚ¹Æ ¹¶Èâ¹ÆÚ¶Æ¶¯¶Æ¶È¾Æ ©á¶¹Æ¹´ ÍÁ®ÕºÇ ¿ÆÎ¿ Ì¹½Æ½ÇÇÆ ¥ÝÁÝºÆ 10 ºÆ ç´Æ¾Æ Î¯Ì»Ç¹Æ¹ºÆ ÎÁ¯Æ¯ÍÁ®ÕºÆ°
5° ¿ÆÎ¿ ½·Æ× ¹¸È¼®Õ (12) ºÇ¶+Æ¯´ÆÐ¿Æ ¼¶È¯Æ¯ÈÎ¸ Ì±»Æ¶Ç¾Æ ¬Ý ô¹Ç(ô¹Ç1) Û¶Æ¶ÈÎ¼ÜºÆ £¶ ¸¼Ç «·Æ×ô¹Ç»Æ(ô¹Ç 5) Û¶Æ¶ÈÎ¼ÜºÆ ¬´ÆÕ¶¾Æ ÍÁ®ÕºÆ°6° Í¶ÎÁ»½Æ½ Ì±Ç½Æ¯Î¿¯Æ ¯É½ÈÕ¯°
1. Specify all the particulars relating to the dates, including the month and last portion of the year, in letters, for instance, first dayof January, 1953 (fifty-three)
2. Tamils or moors must be described as “Ceylon Tamil” or “Ceylon Moor” or “Indian Tamil” or “Indian Moor” as the case maybe.
3. In the case of a person born in wedlock, information should be given of the paternal grandfather and great grandfather, and in
the case of a person not so born, and not legitimated by the subsequent marriage of the parents, information should be givenof the maternal grandfather and great grandfather.
4. In the case of a person not born in wedlock, both parents should sign in Cage 10,if particulars relating to the father are to beentered in the register of births.
5. If the declaration is made within twelve months of birth the stamp shall be of the value of one rupee and if it is made thereafter
the stamp shall be of the value of five rupees.
6. Delete inapplicable words.

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