✨ Death Registration Forms and Fees
2216
THE NEW ZEALAND GAZETTE
[No. 72
Form No. 3.
CERTIFICATE OF MEDICAL PRACTITIONER.
To , Registrar of Deaths at .
I, THE undersigned, a duly qualified medical practitioner, do hereby certify that I attended in his [her] last illness. I last saw him [her] on the day of , 191 . The duration of his [her] illness was days [months].
To the best of my knowledge and belief the causes of death were—
Primary:
Secondary:
Witness my hand this day of , 191 , at .
………………
Medical Practitioner.
[Translation into Maori.]
Akakiteanga No. 3.
KO TE AKAKITEANGA A TE TAUNGA-TAOTE.
Ki , Te Retita akapapa i te aronga mate i .
Ko au teia, e taunga-taote tei oti i te akamanaia i te rave i te angaanga a te Taote, te akakite atu nei au kua rave ana au i teia tangata maki i roto i tona makianga openga nei, e tera te ra openga i kite tikai au iaia ko te ra o 19 e tera te roa o te au ra o tona makianga e ra (marama).
Ko taku i kite tikai e tera te tumu o tona mate ko—
Te mua:
Te rua:
Ei kite i toku rima tata i teia ra o 19 .
………………
Taunga-Taote.
Form No. 4.
CERTIFICATE AS TO BURIAL.
To , Registrar of Deaths at .
I, , of , a Minister of the denomination known as or called the , do hereby certify that the body of was on the day of , 191 , duly buried at , in my presence.
Witness my hand this day of , 191 , at .
………………
Minister.
[Or, if no Minister present, then the person who performed the religious or other service, or conducted the burial.]
[Translation into Maori.]
Akakiteanga No. 4.
AKAKITEANGA E KUA TANU TE KOPAPA O TEI MATE.
Ki , Te Retita no te akapapaanga i te au Mate i .
Ko au teia , o , e orometua au no te Akonoanga ko , te akakite nei au e ko te kopapa o ko tei mate, kua tanu tei reira ki raro i te one i teia ra o 19 e kua raveia taua angaanga nei ki nua i toku aroaro.
Ei kite i toku rima tata i teia ra o 19 , i te enua ko.
………………
Oremetua.
[Nara me kare e orometua i reira rave i taua tanuanga ko te rima rave tei rave ana i te angaanga e taina i tona ingoa.]
SECOND SCHEDULE.
FEES TO BE TAKEN BY REGISTRARS, AND BY THEM PAID OR TRANSMITTED TO THE TREASURER AT RAROTONGA OR NIUE.
s. d.
Search fee (for each entry to be perused) .. .. .. 1 0
For certified copy of registered particulars as to any birth .. 2 0
For a certificate as to the date of any birth .. .. .. 1 0
For certified copy of registered particulars as to any death .. 2 0
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 1916, No 72
NZLII —
NZ Gazette 1916, No 72
✨ LLM interpretation of page content
🌏
Regulations relating to the Registration of Deaths in the Cook Islands
(continued from previous page)
🌏 External Affairs & Territories19 June 1916
Cook Islands, Deaths, Registration, Regulations, Form
🏥 Certificate of Medical Practitioner for Death Registration
🏥 Health & Social WelfareDeath, Registration, Medical Certificate, Cook Islands
🏥 Certificate as to Burial for Death Registration
🏥 Health & Social WelfareDeath, Registration, Burial Certificate, Cook Islands
🌏 Fees for Death and Birth Registration Services
🌏 External Affairs & TerritoriesFees, Registration, Birth, Death, Cook Islands