Birth Registration Form




REGISTER OF BIRTHS. — AKAPAPANGA I TE AU ANAUVANGA.
[Form No. 1.

Registered at , in the Island of , Cook Islands. — Retitaiā ki i runga i te enua ko , Kuki Airani.

Entry Number.
Date of Birth. Ra i anau mai ei.
Place of Birth. Ngai i anau mai ei
Christian or First Name. Te Ingoa mua.
Sex. Tane me e Vaine.
Name. Te Ingoa.
Residence. Ngai noo ei.
Description. Te Tu.
Name. Te Ingoa.
Residence. Ngai noo ei.
Description. Te Tu.
Signature. Tataanga i te Ingoa.
Residence and Occupation. Ngai noo ei e te Angaanga.
Degree of Relationship to Child. Eaa aia na te Tamaiti ianau mai me e kopu Tangata.
Date of Registration. Te ra i Retitaiā i te anau-anga.
Signature of Registrar. Te Ingoa a te Retita.

Child. Tamaiti.

Parents of Child. Nga Metua-Anau o te Tamaiti.

Father. Te Metua.

Mother. Te Metua Vaine.

Informant. Te i Apai ma te tuatua akakite.

Registrar. Retita.

  • State whether a Native of full blood, or a quarter, half, or three-quarter caste, as the case may be. * E akakite mai me e Maori tikai, me e kuata-papaa, me e ava-papaa, me e toru-kuata-papaa, me eaa.

FIRST SCHEDULE.

THE NEW ZEALAND GAZETTE. [No. 72



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 1916, No 72


NZLII PDF NZ Gazette 1916, No 72





✨ LLM interpretation of page content

🌏 Regulations relating to the Registration of Births and Deaths in the Cook Islands (continued from previous page)

🌏 External Affairs & Territories
19 June 1916
Cook Islands, Births, Deaths, Registration, Regulations, Order in Council