SCHEDULE R Schedule R

SCHEDULE R.

(See Section 575).

Particulars to be specified in the Register of Deaths.

Serial Number .. .. Date of birth .. .. Abode .. .. Division Sub-Division Ward No. of house (i.e., its distinguishing No. under clause (a) of section 214). Street or wadi. No. of house in street or wadi. Duration of residence in .. Years Months Days If a stranger to or lately arrived, where from .. Village Taluka. District Name (and surname, if any). Sex. Race, Caste or Nationality. Age .. .. .. .. Years Months. Days. Still-born

SCHEDULE R.-(Contd).

Occupation or profession of deceased or of his or her family. Place of birth If in the city of ------------- If out of the city of -------- Division. Street or wadi. No. of house. Village. Taluka. District. Country to which family belongs. Cause of death Duration of disease .. Years. Months. Days. Hours. Name and residence of Medical Attendant .. Place of disposal of dead, No. .. .. Buried. Burnt. Exposed