Declaration forms
The following birth and death declaration forms have been configured to meet the needs of the Farajaland context. Note that the mandatory fields are intended to promote inclusion and avoid barriers to registration (e.g. National ID not mandatory as many people do not yet have them, supporting documents not mandatory).
Birth
Section | Question | Mandatory Field |
---|---|---|
Child's details | Date of birth | |
First name(s) | ||
Last name | ||
Sex | ||
Type of birth | ||
Attendant at birth | ||
Weight at birth | ||
Place of birth | ||
Mother's details | Date of birth | |
Nationality | ||
National ID | ||
First name(s) | ||
Last name | ||
No. of births | ||
Occupation | ||
Martial status | ||
Level of education | ||
Usual place of residence | ||
Father's details | Date of birth | |
Nationality | ||
National ID | ||
First name(s) | ||
Last name | ||
Occupation | ||
Martial status | ||
Level of education | ||
Usual place of residence | ||
Informant | Relationship to child | |
Date of birth | ||
Phone number | ||
Email address | ||
If informant is not the mother or father | First name(s) | |
Last name | ||
Date of birth | ||
Nationality | ||
National ID | ||
Usual place of residence | ||
Supporting documents | Proof of birth | |
Proof of mother's ID | ||
Proof of father's ID | ||
Proof of informant's ID | ||
Other |
Death
Section | Question | Mandatory Field |
---|---|---|
Deceased details | Date of birth | |
Nationality | ||
National ID | ||
First name(s) | ||
Last name | ||
Sex | ||
Marital status | ||
Usual place of residence | ||
Event details | Date of death | |
Manner of death | ||
Cause of death been established? | ||
Source of cause of death | ||
Place of death | ||
Informant details | Relationship to deceased | |
Phone number | ||
Email address | ||
First name(s) | ||
Last name | ||
Date of birth | ||
Nationality | ||
National ID | ||
Usual place of residence | ||
Supporting documents | Proof of deceased's ID | |
Proof of informant's ID | ||
Proof of death of deceased | ||
Proof of cause of death |