LAWS OF TUVALU
2008 Revised Edition

CAP. 17.10.1

BIRTHS, DEATHS AND MARRIAGES
(PRESCRIPTION OF FORMS AND SEAL)
REGULATIONS

BIRTHS, DEATHS AND MARRIAGES REGISTRATION ACT

______________________________________________________________________________

1 Citation 

These Regulations may be cited as the Births, Deaths and Marriages (Prescriptions of Forms and Seal) Regulations. 

2 Forms 

The forms set out in Schedule 1 shall be the forms to be used in the cases to which they refer for the purposes of the Births, Deaths and Marriages Registration Act. 

3 Seal 

The seal described in Schedule 2 shall be the seal of the General Registry Office and an impression of it made with ink by means of a wooden block shall constitute a sufficient sealing. 

SCHEDULE 1

FORM 1 [s. 20 (1) (b)]

DECLARATION AS TO STILL-BIRTH

I ............................................., do solemnly and sincerely declare that no medical practitioner or midwife was present at the birth of the child of ..............................., nor has a medical practitioner or midwife examined the body, and that a certificate of a medical practitioner or midwife cannot be obtained, but that the child which was born on the day of , 20 , was not born alive. 
Dated the day of , 20 . 

................................................ 
Informant 

Before me 

.................................................. 
Magistrate/Island Magistrate 

FORM 2 [s. 2.0 (2)]

CERTIFICATE OF REGISTRATION OF STILL-BIRTH

I do hereby certify that I have this ...........day of ..............................................., 20 ......., registered the birth of the child of ................................., which child was not born alive as evidenced by— 

*(a) the certificate of 

(medical practitioner/midwife) 

Dated the day of , 20 . 

*(b) the declaration made by 

(name of declarant) 

Dated the day of , 20 . 

............................................. 
Registrar for (name of district) 

*Delete whichever is not applicable 

FORM 3 [s. 21]

CERTIFICATE OF REGISTRATION OF BIRTH

(District of 	)	

Name of child 

Sex 

Date of birth 

Date registered 

Name of mother 

Address at birth 

Signature of Registrar 

COUNTERFOIL	FORM 4 [s. 30 (1)]

Name of Deceased………				
Age……………………….	MEDICAL CERTIFICATES OF THE CAUSE OF DEATH
	
Last seen ………………….				
Died on …………………..	
I HEREBY CERTIFY that I attended …………………………………during the last illness, that such person's age was stated to be that I last saw h…. on the ………day of …………….19……., that…………………..*died ………………..on the …….day of …………. 19……….. at ……………………………and that, to the best of my knowledge and belief the cause of h…. death was as hereunder written.
	
At………………………….				
Deceased's Address	*Should the medical attendant feel justified in taking upon himself the responsibility of certifying the fact of death, he may here insert the words* as I am informed"                       
______________________________________________________	
	CAUSE OF DEATH		Approximate interval between 
onset and death	
CAUSE OF DEATH	______________________________________________________	
	I. Disease or condition directly leading to death†	(a) ……………………………
due to (or as a consequence of)	……………………………	
(a) …………………………
due to (or as a consequence of)				
	Antecendent causes
Morbid conditions, if any giving
rise to the above cause, stating the under-lying conditions last	(b)……………………
due to (or as a consequence of)	………………	
(b) …………………………
due to (or as a consequence of)	______________________________________________________	
	II. Other significant conditions contributing to the death, but not related to the disease or condition causing it.	(c)…...............................	………………	
(c) ………………………….

Other significant conditions

……………………………..	______________________________________________________
†This does not mean the mode of dying e.g., heart failure, asthenis, etc. It means the disease, injury, or complication which caused death 
______________________________________________________	
	Deceased's address	………	Date, the ….. day of ………..	
Signed …………………….
	Deceased's place of death	………	Signature ………………………	
Date…………………………			Registered qualification…………	
				
	N.B., THIS CERTIFICATE IS INTENDED SOLELY FOR THE USE OF THE REGISTRAR	

FORM 5 [s. 30 (2)]

NOTICE OF THE SIGNING OF THE CERTIFICATE OF CAUSE OF DEATH

To: 

(Informant) 

This is to notify that I have this ...........day of ....................................................., 20, signed the medical certificate of the cause of death of 

(name of deceased) 

................................................... 
Medical Practitioner 

FORM 6 [s. 34 (a)]

CERTIFIED COPY OF ENTRIES IN BIRTHS REGISTER

REGISTRATION	Name if
added after
registration				I, ………………………………………………., do hereby certify that the above is a true copy of entries made by me in the Births Register at …………………(District) for the period 1st ………….. to 30/31st …………… 19……..†
Extracted this ……………day of ………………..19………..

	……………………………..
Registrar	* Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration Ordinance in moths of January/April/July/October as appropriate.
†To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December.	
	When 
and 
where
notified							
INFORMANT	Name, Occupation 
and place of
residence 							
PARENTS	MOTHER	Birth 
Place						
		Age						
		Name						
	FATHER	Previous 
ISsue
Living 
and 
deceased						
		When
and 
where 
married						
		Birth
Place						
		Age						
		Occupation						
		Name						
CHILD	Sex							
	Name							
	Where
Born 
And when
If still-born
State in 
this 
column							
NO.			1.	2.				

FORM 7 [s.34(a)]

CERTIFIED COPY OF ENTRIES IN THE DEATHS REGISTER

Issue in order of births, the names and ages			I, ………………………………………………., do hereby certify that the above is a true copy of entries made by me in the Deaths Register at …………………(District) for the period 1st ………….. to 30/31st …………… 19……..†
Extracted this ……………day of ………………..19………..

	……………………………..
Registrar	* Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration Ordinance in moths of January/April/July/October as appropriate.
†To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December.	
Was deceased ever married? If so state when and to whom						
Where born and how long in Tuvalu						
When buried and where						
Name, occupation and place of residence of informants						
Name of Mother						
Occupation of Father						
Name of Father						
When he last saw deceased						
Medical Practitioner by whom certified						
Duration of last illness						
Cause of 
Death						
Age						
Sex						
Date of
Death and
where it occured						
NO.	1.	2.				

FORM 8 [s. 34(a)]

CERTIFIED COPY OF THE ENTRIES IN THE MARRIAGES REGISTER

PARTICULARS OF MARRIAGE	Witness of Marriage					I, ………………………………………………., do hereby certify that the above is a true copy of entries made by me in the Deaths Register at …………………(District) for the period 1st ………….. to 30/31st …………… 19……..†
Extracted this ……………day of ………………..19………..

	* Quarterly returns to be furnished to the Registrar – General under section 34(a) of the Births, Deaths, and Marriage Registration Ordinance in moths of January/April/July/October as appropriate.
†To be filled in to cover appropriate period of three months, e.g., 1st January to 31st March, 1st April to 30th June, 1st July to 30th September, 1st October to 31st December.	
	By whom performed							
	Place of Marriage							
	Date of Marriage							
PARTICULARS OF PARTIES	Father's name, occupation and place of Birth							
	Condition							
	Place of Residence at time of marriage							
	Age							
	Occupation							
	Name	Husband	Wife	Husband	Wife			
NO.		1.	2.			

FORM 9 [s. 34 (b)]

CERTIFICATE OF NIL RETURN* OF ENTRIES IN THE †BIRTHS, DEATHS AND 
MARRIAGES REGISTERS

I,, do hereby certify that no †birth/death/marriage was registered by me in .....................for the period 1st .........................to 30/31st ....................., 20 
(District) 

......................................................... 
Registrar 

*To be furnished quarterly. 
†Delete whichever is inapplicable. 

SCHEDULE 2

[s. 40 (5)]

SEAL OF GENERAL REGISTRY OFFICE

TUVALU

-----------------------------

GENERAL REGISTRY OFFICE