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gÁdå¥Á®gÀÄ ªÀiÁrzÀ ¤AiÀ

PLANNING, PROGR

No. PD

In exercise of the powers confer

(Central Act 18 of 1969), the Government o

Deaths Rules, 1999 by replacing with the fo

`5. Forms etc., for giving inform

(1) The information required to

Form Nos. 1, 1A, 2 and 3 for the registrat

collectively called the reporting forms. Infor

and the signature/thumb impression of the

(1265)

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C¢üPÀÈvÀªÁV ¥ÀæPÀn¸À¯ÁzÀÄzÀÄ

ÁgÀ, ¸É¥ÉÖA§gï 27, 2012 (D±ÀéAiÀÄÄd 5, ±ÀPÀ ªÀµÀð

¨sÁUÀ - 4J

vÀÄÛ CªÀÅUÀ¼À ªÉÄÃ¯É ¥Àj²Ã®£Á ¸À«ÄwAiÀÄ ªÀg

zsÁåzÉÃ±ÀUÀ¼ÀÄ, PÉÃAzÀæzÀ ªÀÄvÀÄÛ gÁdåzÀ ±Á¸À£ÀUÀ¼

ÁªÀiÁ£Àå ±Á¸À£À§zÀÞ ¤AiÀÄªÀÄUÀ¼ÀÄ ªÀÄvÀÄÛ gÁeÁå

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¤AiÀÄªÀÄUÀ¼ÀÄ

AMME MONITORING AND STATISTICS SECRE

NOTIFICATION

D 59 SMC 2012, Bangalore, dated 30-05-2012

rred by sub-section (1) of section 30 of the Registration of B

of Karnataka hereby amend the existing rule 5 (1) of Karnatak

ollowing :

mation of births and deaths –

o be given to the Registrar under section 8 or section 9 as th

ion of birth, birth of an adopted child, death and still birth re

rmation if given orally shall be entered by the Registrar in the

informant obtained.

By Order and in the name of the G

B.K. SRINIVASAMU

Under Secretary to Gov

Planning, Programme Mo

Statistics Departmen

Â√¿Ê

1934)

¸ÀAaPÉ 39

gÀ¢UÀ¼ÀÄ, gÁdåzÀ

¼À ªÉÄÃgÉUÉ gÁdå

ÁåAUÀzÀ ªÉÄÃgÉUÉ

®AiÀÄªÀÅ ªÀiÁrzÀ

ETARIAT

Births and Deaths Act, 1969

ka Registration of Births and

he case may be, shall be in

spectively, hereinafter to be

e appropriate reporting forms

overnor of Karnataka,

URTHY,

vernment,

onitoring and

nt. (S-5).

1266

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FORM No. 1-A (See rule 5)

FORM NO.1-A BIRTH REPORT FOR ADOPTED CHILD

Legal information

This part to be added to the Birth Register

BIRTH REPORT FOR ADOPTED CHILD FORM NO.1-A

Statistical information

This part to be detached and sent for statistical processing

To be filled by the informant

1*. Date of Birth (if known, write exact date of birth)

(Otherwise record the date of birth as ascertained

by the Magistrate)

2*. Sex : (Enter *male or *female, do not use

abbreviation)

Name of the child :

(if name is changed on adoption, write new name)

4*. Name of the mother :

(If Known)

5*. Name of the father :

(If Known)

Date and number of adoption deed/order

Name of the adoptive mother :

Name of the adoptive father :

Address of adoptive parents as recorded in Adoption

deed.

10. Permanent address to adoptive parents :

11*. Place of birth

12. If adoption through agency write the place & address

Of the Adoption agency

13. Informant's name and address :

(After completing all columns 1 to 18 informant will put

date and signature here)

*As contained in the original birth certificate.

Date : Signature or left thumb mark of the informant

To be filled by the informant

14. Religion of the adoptive Father :

(Tick the appropriate entry below)

1 Hindu, 2 Muslims, 3 Christian

4 Any other religion (write name of the religion)

15. Adoptive father's level of education :

(Enter the completed level of education e.g. if studied

upto class VII but passed only class VI, write class VI)

16. Adoptive mother's level of education :

(Enter the completed level of education e.g. if studied

upto class VII but passed only class VI, write class VI)

17. Adoptive father's occupation :

(If no occupation write 'Nil')

18. Adoptive mother's occupation :

(If no occupation write 'Nil')

Columns to be filled are over. Now put signature at left)

P.R. No. 448

To be filled by the Registrar

Registration No. : Registration Date :

Registration Unit :

Town/Village : District :

Remarks : (if any)

Name and Signature of the Registrar

To be filled by the Registrar

Name Code No.

District :

Tahsil :

Town/Village :

Registration Unit :

Registration No. : Registration Date :

Date of Birth :

Sex : 1 Male 2. Female

Place of Birth :

Name and Signature of the Registrar

To be detached and sent for statistical processing (Not to be filled for birth already registered)

¨sÁUÀ - 4J

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HOME SECRETARIAT

No:HD 454 SST 2012 Bangalore, dated:21/09/2012

NOTIFICATION

In exercise of the powers conferred by Section 21 of the Code of Criminal Procedure, 1973 (Central Act 2 of 1974),

Government of Karnataka hereby appoints Officers specified in column No.2 of the following table as Special Executive

Magistrates for the areas specified in column Nos. 3 & 4 of the table and confer on them all the powers as are conferrable on

Special Executive Magistarates under the said Code for the maintainance of Law & Order during the Ganesha Festival being

observed from 19/09/2012 to 30/09/2012 in BIDAR DISTRICT.

Sector

Name of the Officer proposed

to be appointed as Sectoral

Magistrate.

Sectors

Jurisdiction

Sri. Venkatram Reddy

DD Watershed Development,

Bidar.

1. Chand Shaha Kaman.

2. Dargapura.

3. Rangarej Galli.

4. Public Garden.

5. Gorkha Galli.

6. Bheem Nagar.

7. Ram Mandir.

8. Osman Gunj.

9. Cloth Bazar.

10. Rawat Galli.

11. Western portionof Maniyar

Taleem.

Chand Shaha Kaman.

Dargapura.

Rangarej Galli.

Public Garden.

Gorkha Galli.

Bheem Nagar.

Ram Mandir.

Osman Gunj.

Cloth Bazar.

10.

Rawat Galli.

11. Western portion of Maniyar Taleem.

Sri. Basappa

Deputy Director for Public

Instructions,

Bidar.

East Portion of Maniyar

Taleem.

Dhobi Galli.

Barood Galli.

Patel Nagari.

Ahmed Bag.

Fort Area.

Talghat.

Muslim Chowk.

Z.P. Office.

East Portion of Maniyar Taleem.

Dhobi Galli.

Barood Galli.

Patel Nagari.

Ahmed Bag.

Fort Area.

Talghat.

Muslim Chowk.

Z.P. Office.

Sri. MS Katagi

Asst. Director of Agriculture

Bidar.

Golekhana

Takhte Kirmani

Noor Khan Talim

Chaistiyapur

Parkhota

Sardarpura

Masjeed Shah Kharmosh.

Golekhana

Takhte Kirmani

Noor Khan Talim

Chaistiyapur

Parkhota

Sardarpura

7. Masjeed Shah Kharmosh.

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1269

Sector

Name of the Officer proposed

to be appointed as Sectoral

Magistrate.

Sectors

Jurisdiction

Sri. Vishawanth Jille

DD Horticulture Bidar.

Brahmanwadi.

Arkat Galli

Police Kalyan Mantap

Subhash Chowk

Abdul Faiz Dargah

Mangalpet

Habsikote Guest House

Police Quarters.

PWD Quarters.

10.

Tamsheekari Galli

11.

Dattayya Galli

12.

Tippu Sultan Colony.

Brahmanwadi.

Arkat Galli

Police Kalyan Mantap

Subhash Chowk

Abdul Faiz Dargah

Mangalpet

Habsikote Guest House

Police Quarters.

PWD Quarters.

10.

Tamsheekari Galli

11.

Dattayya Galli

12.

Tippu Sultan Colony.

Sri. Shanker Shinde

District Adult Education officer,

Bidar.

Asthana Road.

Bhoi Galli.

RAo Taleem.

Chonde Galli.

Ali Gagh.

Phatak Galli.

Darzi Galli.

Singar Bagh

Ambadas Galli.

10.

Chakur Galli.

11.

Mustaidapura Matankeri.

12.

Bawarchi Galli.

13.

Jama-e-Masjid.

14.

Sabe taiga.

Asthana Road.

Bhoi Galli.

RAo Taleem.

Chonde Galli.

Ali Gagh.

Phatak Galli.

Darzi Galli.

Singar Bagh

Ambadas Galli.

10.

Chakur Galli.

11.

Mustaidapura Matankeri.

12.

Bawarchi Galli.

13.

Jama-e-Masjid.

14.

Sabe taiga.

Sri. Suryakant

Project Director(DRDA) Z.P

Bidar.

Haroorgeri.

Deen Dayal Nagar.

Karnataka College.

Basaveshwar Chowk

Sendi Khana Road.

Old Post Office.

DCC Bank.

Sangam Talkies.

Muncipal Office.

10.

Tahsil Office.

11.

D.C. Office.

12.

Railway Station.

13.

New Housing Colony

Haroorgeri.

Deen Dayal Nagar.

Karnataka College.

Basaveshwar Chowk

Sendi Khana Road.

Old Post Office.

DCC Bank.

Sangam Talkies.

Muncipal Office.

10.

Tahsil Office.

11.

D.C. Office.

12.

Railway Station.

13.

New Housing Colony

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Sector

Name of the Officer proposed

to be appointed as Sectoral

Magistrate.

Sectors

Jurisdiction

14.

Vidya Nagar Colony

15.

Gandhi Gunj

14.

Vidya Nagar Colony

15.

Gandhi Gunj

16. Ambedkar Colony

16.

Quadri Colony

17.

Khazi Colony

18.

Jangal Koi

19.

Badroddin Colony

20.

Adarsh Colony

21.

Jyoti Colony.

16. Ambedkar Colony

16.

Quadri Colony

17.

Khazi Colony

18.

Jangal Koi

19.

Badroddin Colony

20.

Adarsh Colony

21.

Jyoti Colony

Sri. Sharnappa Mudgal

JD Agriculture,

Bidar.

Outside Shah Gunj.

Kranti Ganesh

Multani Colony

Labour Colony

Janwada Colony

PWD Quarters

Traffic Police Station

Co.Op.Housing Colony

Bus Stand

10. Nehru Stadium

11. Raghavendra Colony

12. SBH Colony

13. Idga and For side locality

14. Jail Colony

15. KHB Colony

16. Part of Navadgeri.

Outside Shah Gunj.

Kranti Ganesh

Multani Colony

Labour Colony

Janwada Colony

PWD Quarters

Traffic Police Station

Co.Op.Housing Colony

Bus Stand

10. Nehru Stadium

11. Raghavendra Colony

12. SBH Colony

13. Idga and For side locality

14. Jail Colony

15. KHB Colony

16. Part of Navadgeri.

Sri. Neelkant JD

DIC, Bidar.

Bidar(South) Revenue Circle Rural

Areas.

Bidar(South) Revenue Circle Rural Areas.

Sri. Gopal Chavan

DRCS Bidar.

Bidar(North) Revenue Circle Rural

Areas.

Bidar(North) Revenue Circle Rural Areas.

Sri. Suraykant Madane

Block Education Officer,

Bidar.

Janwada Revenue Circle.

Dr. Khaja .M.

Asst. Director, Fisheries,

Bidar.

Mannalli Revenue Circle.

Sri. Nagappa

AEE PRED

Bidar.

Bagdal Revenue Circle

Sri. Laxman Rao

Asst. Executive Engineer,

PWD, Bidar.

Kamthana Revenue Circle.

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1271

Sector

Name of the Officer proposed

to be appointed as Sectoral

Magistrate.

Sectors

Jurisdiction

Sri. Chanshetty Visvanath

Asst. Director of Agril,

Basavakalyan.

Basavakalyan Town Area

Sri. Ganganna Swamy,

Block Education

Officer,Basavakalyan.

Rural area of B.Kalyan Revenue

Circle.

Rural area of B.Kalyan Revenue Circle.

Sri. Gajare

Asst. Executive Engineer, PWD,

B.Kalyan.

Mantala Revenue Circle

Sri. Mallikarjun Bavage Senior

Horticulture Officer, B.Kalyan.

Mudbi Revenue Circle

Sri. Basavaraj Kherade

EO TPS,B.Kalyan.

Rajeshwar Revenue Circle

Sri. Hanama Prabhu

AEE PMGSY, B.Kalyan.

Hulsoor Revenue Circle

Dr. Ravindra,

Asst. Director,

Veterinary, B.Kalyan.

Kohinoor Revenue Circle

Sri. C.S. Patil

AEE PRE Sub.Dn.,

Humnabad.

Humnabad Town area.

Sri. Babu Miya

Block Education Officer,

Humnabad.

Humnabad Rural Revenue Circle

Dr. Govindappa

Asst. Directory,

Veterinary, Humnabad.

Dubalgundi Revenue Circle

Sri. Shivaraj Madkatte

Asst. Executive Engineer,

PWD Sub. Dn. Humnabad.

Bemalkheda Revenue Circle

Sri. A.B. Patil

Range Forest Officer, (SF)

Humnabad.

Hallikhed(B) Revenue Circle

Sri. Devanand Chawan,

A.E.E., N.H.9

Humnabad.

Nirna Revenue Circle

Sri. Ramesh Kanti

Child Development Project

officer, Humnabad.

Chitguppa Town Area

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Sector

Name of the Officer proposed

to be appointed as Sectoral

Magistrate.

Sectors

Jurisdiction

Sri. Shivaji Rao Donne

EO TPS Humnabad.

Chitguppa Rural Revenue Circle

Sri. B.F. Naikar

AEE PRE Sub.Dn. Bhalki.

Bhalki Town Area

Sri. Biradar

AD Watershed

Sub.Dn. Bhalki

Bhalki Revenue Circle Rural areas.

Sri. Srihari, Asst. Director,

Veterinary, Bhalki.

Lakhangaon Revenue Circle

Sri. Pandith Nad Tasildar

Halbarga.

Halbarga Revenue Circle

Sri. Govindappa Nad Tasildar

Katak Chincholli

Katak Chincholli Revenue Circle

Sri. S. Hunagunda

Block Education Officer,

Bhalki.

Nittur(B) Revenue Circle

Sri. Suryakant,

Asst. Director of Agril,

Bhalki.

Saigaon Revenue Circle

Sri. Shivkumar Swamy,

Block Education Officer,

Aurad(B)

Aurad Town Area

Sri. S. Biradar,

Asst. Director of Agril, Aurad(B).

Aurad Rural Revenue Circle

Sri. Shilendar Kulkarni,

Asst. Director,

Veterinary, Aurad(B).

Santhpur Revenue Circle

Sri. Ashok Kalgi

Asst. Executive Engineer,

PRE Sub.Dn. Aurad(B)

Chintaki Revenue Circle

Sri. Vivakand Kote,

AEE. GESCOM, Aurad(B).

Kamalnagar Revenue Circle

Sri. Vithal Rao Talang,

Taluka Social Welfare

Officer,Aurad(B)

Dabka Revenue Circle

Sri. N. Devenderappa

Secretary, APMC, Aurad(B)

Thanakushnoor Revenue Circle

By Order and in the name of the Governor of Karnataka

PRAKASH .Y.K

Under Secretary to Government

PR - 603

Home Department (Law & Order)