BIRTHS AND DEATHS REGISTRATION: SUBSIDIARY LEGISLATION

INDEX TO SUBSIDIARY LEGISLATION

Births and Deaths (Alteration of Register) Rules

Births and Deaths (Civil Registration Pilot Project) Regulations

Births and Deaths Registration (Exemption from Late Registration Penalty Fee) Regulations

Births and Deaths Registration Regulations

BIRTHS AND DEATHS (ALTERATION OF REGISTER) RULES

(under section 17)

(28th September, 1979)

ARRANGEMENT OF RULES

RULE

1. Citation

2. Procedure for altering register of births or deaths

3. Application by parent, guardian or personal representative

S.I. 91, 1979.

1. Citation

These Rules may be cited as the Births and Deaths (Alteration of Register) Rules.

2. Procedure for altering register of births or deaths

An application to the High Court for the alteration of any register of a birth or death in compliance with the provisions of sections 15 and 16 of the Act shall be made by motion in accordance with the procedure specified in Order 13 of the Rules of the High Court of Botswana (Cap. 04:02 (Sub Leg.)) for bringing an application on notice of motion.

3. Application by parent, guardian or personal representative

Without prejudice to the powers of the Registrar of Births and Deaths, an application under rule 2 for the alteration of a register of a birth or a death may be made—

(a) in respect of the birth of a person who is under the age of 21 years, by his parent or guardian; and

(b) in the case of a death, by the personal representative of the deceased.

BIRTHS AND DEATHS REGISTRATION REGULATIONS

(under section 25)

(1st April, 1969)

ARRANGEMENT OF REGULATIONS

REGULATION

1. Citation

2. Interpretation

3. Duties and powers of Registrar

4. Duties and powers of District Registrar and Registration Officer

5. Registers

6. Notification of births

7. Notification of deaths

8. Notification of death by medical practitioner

9. Birth and death certificates

10. Late registration of births and deaths

11. Appeal to the Minister

12. Registration as father of child born out of wedlock

13. Amendment of birth registration after parents’ marriage

14. Inspection of registers, etc.

15. Certified copies of entries in registers, etc.

16. …

17. Fees

First Schedule – Forms

Second Schedule – Scale of Fees

S.I. 18, 1969,
S.I. 123, 1980,
S.I. 41, 1985,
S.I. 29, 2003,
S.I. 85, 2014.

1. Citation

These Regulations may be cited as the Births and Deaths Registration Regulations.

2. Interpretation

In these Regulations—

“the District Registrar” means the District Registrar of the district or area in which the relevant birth or death took place.

“Registration Officer” means the Registration Officer of an area in which the relevant birth or death took place.

3. Duties and powers of Registrar

Subject to the Act, the duties and powers of the Registrar shall be—

(a) to take charge of and preserve all books, registers and records of births and deaths which occurred prior to the commencement of the Act;

(b) to require the submission to him of any documentary proof he may consider necessary to have for the proper discharge of his functions;

(c) to take charge of and preserve all such books, forms, registers, returns and other documents as form part of the records of the Registrar’s Office;

(d) to receive and deal with applications for searches and for certified copies of births and deaths registers or other documentary proof and to obtain and furnish such information concerning births and deaths as may be required;

(e) to cause indices to be made of all births and deaths records in his custody;

(f) to have the general control and superintendence of the registration of births and deaths,

and all officers on whom by the Act or these Regulations any power or duty is imposed or conferred shall, in the exercise of such power or duty, conform to the lawful instruction of the Registrar.

4. Duties and powers of District Registrar and Registration Officer

(1) Subject to the provisions of the Act, the duties and powers of a District Registrar shall be to—

(a) fill in the prescribed forms on behalf of persons who verbally give information concerning births or deaths occurring in his district;

(b) receive forms of information on births and deaths accompanied by declarations, if required, verifying the information given therein;

(c) examine forms of information received and any documents in support thereof and cause any defect or inaccuracy therein to be corrected; and

(d) superintend and control, subject to the lawful instructions of the Registrar, the registration of births and deaths in his district.

(2) A Registration Officer shall, in respect of the area for which he is responsible, exercise the same powers and perform the same duties as, a District Registrar.

(3) A Registration Officer shall transmit all completed forms and any other related documents received by him in terms of this section, to the District Registrar.

(4) A District Registrar shall transmit all completed forms received by him from a Registration Officer in terms of this section, to the Registrar.

5. Registers

The Register of Births, the Register of Still-Births and the Register of Deaths shall be as prescribed in the First Schedule.

6. Notification of births

Any person whose duty it is to give notice of a birth or a still birth under section 6 of the Act shall either send to the District Registrar or the Registration Officer of the district in which the birth or still-birth, as the case may be, took place, an information form in Form CRB2 in the First Schedule or give verbal notice of the birth or still-birth, as the case may be, to the District Registrar or Registration Officer of the district in which the birth or the still-birth took place.

7. Notification of deaths

Any person, not being the medical practitioner who attended during the last illness of the deceased, who wishes to give notice of a death or whose duty it is to give notice of a death in terms of section 7 of the Act, shall either send to the District Registrar or Registration Officer of the district in which the death took place, an information form in Form CRD2 in the First Schedule, or give verbal notice of the death to the District Registrar or Registration Officer who shall complete Form CRD2 in the First Schedule in respect of such death and cause it to be signed by the informant.

8. Notification of death by medical practitioner

Any medical practitioner whose duty it is to give notice of a death in terms of section 7 of the Act or who is required by the Registrar or other person to do so in terms of section 21 of the Act shall send to the District Registrar or Registration Officer, a notice in Form CRD2 in the First Schedule.

9. Birth and death certificates

Birth certificates issued by the Registrar in terms of section 10(1) of the Act shall be in Form CRB3 in the First Schedule in the case of a live birth, or in Form CRB4 in the First Schedule in the case of a still-birth, death certificates shall be in Form CRD3 in the said Schedule, and the fees payable therefor shall be as prescribed in the Second Schedule.

10. Late registration of births and deaths

An application for the registration of a birth or death in terms of section 11(2) shall be made by delivering notice of such birth or death to the District Registrar or Registration Officer in Form CRB2 or Form CRD2 in the First Schedule, as the case may require, accompanied by the appropriate fee as prescribed in the Second Schedule.

11. Appeal to the Minister

Any person who wishes to exercise the right of appeal to the Minister in terms of section 11(5) of the Act shall lodge notice of appeal in writing, specifying the grounds on which he claims to be aggrieved, with the Minister within 30 days of the refusal of the Registrar to register the birth or death in question.

12. Registration as father of child born out of wedlock

The consent, in terms of section 19 of the Act, of the father of a child born out of wedlock to have his name entered in the information form relating to the birth of such child or in the Births Register as father of the child shall be in Form CRB5 in the First Schedule and shall be transmitted to the District Registrar.

13. Amendment of birth registration after parents’ marriage

Whenever the Registrar is satisfied that the alleged parents of a person, application for the registration of whose birth is made in terms of section 20 of the Act, are in fact his parents and that they are married to each other, he shall enter the particulars of the birth in the Births Register and shall cause the information form relating to the birth to be amended accordingly and shall cancel the previous entry in the register relating to the birth.

14. Inspection of registers, etc.

Any person shall be entitled, on giving 24 hours notice and on paying the prescribed fee to the Registrar, to search the indices and to inspect any entry in the registers and any document kept in terms of these Regulations in the custody of the Registrar.

15. Certified copies of entries in registers, etc.

(1) Any person shall be entitled on payment of the prescribed fee to have a copy of any entry in the registers or of any other document kept in terms of these Regulations in the custody of the Registrar.

(2) Every such copy shall be an exact copy of the entry or other document with a certificate at the foot in Form B9 in the First Schedule and shall be signed by the Registrar.

16. ……

17. Fees

(1) The fees payable in respect of any act, matter or thing required or authorised to be done under the Act shall be those specified in the Second Schedule.

(2) The Minister may, where in his opinion special circumstances exist, direct that any fee so payable shall be waived.

FIRST SCHEDULE
FORMS

Form CRB1
REGISTER OF BIRTHS

(reg. 4)

District …………………………………………….. From: …………………………………… to: ……………………………………
				(State date on which last entry was made in the Register)	(State date on which first entry was made in the Register)
Birth certificate No.	Names of child	Date of birth of child	Father’s particulars	Mother’s particulars	Date of registration of birth	Date of issue of certificate	Date of collection of certificate
Names	Nationality	Names	Nationality







Total number of births in District:

Form CRB2
NOTICE OF LIVE BIRTH/STILL BIRTH/NOT IN HEALTH INSTITUTION

Form Number:

Official Stamp

REPUBLIC OF BOTSWANA

BIRTH AND DEATH REGISTRATION ACT

NOTICE OF LIVE BIRTH / STILL BIRTH IN HEALTH / NOT IN HEALTH INSTITUTION

Registration Office:

Record Number

Registration No

Surname

Declarant

ID Number

Forename

District

Other Name(s)

City/Town/Village

Date of Notice ________________________________________________

Relation to Child: ____________________________

Declarant Physical Address ____________________________________

Postal Address ______________________________

PARTICULARS OF BIRTH

1.1 Name of Child

Surname

Forename

Other Name(s)

1.2 Sex:

1.3 Date of Birth:

1.4 Born Alive

Still born

1.5 Result of Delivery Single

Multiple

1.6 Place of Birth

District

City/Town/Village

a) Health Facility

Name of Health Facility _____________________________________

b) Home

c) Other (Specify) __________________________________________

1.7 Weight of child

Grams

1.8 Did child look normal after birth?

Yes

1.9 Ges. Period

Weeks

1.10 Did mother have difficulty giving birth

Yes

1.11 Was mother ill at time of delivery?

Yes

PARTICULARS OF MOTHER

2.1 Nationality _____________________

2.2 ID Number

2.3

Surname

Forename

Other Name(s)

2.4 Age of Mother

2.5 Marital Status a) Married

b) Divorced

c) Single

d) Widowed

2.6 Usual Residence: City/Town/ Village

Ward/Street

2.7 Level of education a) Primary

b) Secondary

c) Post Secondary

d) Higher

e) None

2.8 Occupation _______________________________________

2.9 Number of children born alive

2.10 Number of children still alive

Form CRB-2

Form Number :

Acknowledgement

ID Number ______________________

Name of Mother/ Declarant _______________________

Relation to Child :____________________

Place of Registration __________________________

Date ______________________

Amount (in Pula) :_______________________

Receipt No :_____________

Date of Payment _________

Name of District Officer ___________________

Signature ______________

Collected by : ___________________________________

Signature ______________________

Date of Collection : ___________________

PLEASE TURN OVER

PARTICULARS OF FATHER

3.1 Nationality _____________________

3.2 ID Number

3.3

Surname

Forename

Other Name(s)

3.4 Age of Mother

3.5 Marital Status a) Married

b) Divorced

c) Single

d) Widowed

3.6 Usual Residence: City/Town/ Village

Ward/Street

3.7 Level of education a) Primary

b) Secondary

c) Post Secondary

d) Higher

e) None

3.8 Occupation _______________________________________

IT IS AN OFFENCE TO KNOWINGLY GIVE INCORRECT INFORMATION

Signature : Declarant ____________________________

Name ______________________

Designation _________________

Signature : _________________

Date : _____________________

Med. Officer/Midwife

Name ______________________

Designation _________________

Signature : _________________

Date : _____________________

Form CRB3
CERTIFICATE OF BIRTH

BIRTHS AND DEATHS REGISTRATION ACT
(Cap. 30:01)

(Reg. 9)

1. Certificate number	…………………………………………….
2. Registration number	…………………………………………….
3. Date of Birth of child	…………………………………………….
4. Place of Birth of child	…………………………………………….
5. Names of child	…………………………………………….
6. Sex of child	…………………………………………….
7. Father’s name and surname	…………………………………………….
8. Mother’s name and maiden name	…………………………………………….
9. Date of registration of birth	…………………………………………….
I hereby certify the above to be a true and correct extract from the Register of Births kept at Gaborone in the Republic of Botswana.
	……………………………………………. Registrar of Births and Deaths
DATED this …………………………….. day of …………………………………….., 20……………

Form CRB4
CERTIFICATE OF STILL-BIRTH

BIRTHS AND DEATHS REGISTRATION ACT
(Cap. 30:01)

(Reg. 9)

1. Certificate number	…………………………………………….
2. Registration number	…………………………………………….
3. Date of still-birth	…………………………………………….
4. Place of still-birth	…………………………………………….
5. Sex of still-birth	…………………………………………….
6. Father’s name and surname	…………………………………………….
7. Mother’s name and maiden name	…………………………………………….
8. Date of registration of still-birth	…………………………………………….
I hereby certify the above to be a true and correct extract from the Register of Still-Births kept at Gaborone in the Republic of Botswana.
	……………………………………………. Registrar of Births and Deaths
DATED this ……………………………… day of ……………………………………, 20……………

Form CRB5
FATHER’S CONSENT TO REGISTRATION

BIRTHS AND DEATHS REGISTRATION ACT
(Cap. 30:01)

(Reg. 12)

I, ……………………………………………………………………………………………………………
Name(s)	Surname
hereby consent to have my name entered in the relevant form of information of birth and in the Register of Births as the father of
…………………………………………………………………………………………………………….
(Name (s) of child)
born at …………………………………………………………………………………………………..
(City/Town/Village)
in the ………………………………………………………………………………………….. District
(Name of District)
on the …………………………………. day of …………………………………………, 20……….
to ………………………………………………………………………………………………………….
(Name (s) and maiden surname of mother)
Signature ……………………………………………………………………… Date ………………..
If informant is illiterate, he should place his mark here ………………………………………..
A witness to such mark should sign here ………………………………………………………..

Form CRB6
REGISTER OF STILL-BIRTHS

(Reg. 4)

District: ………………………………………….. From: ……………………………………… to: …………………………………….
				(State date on which last entry was made in the Register)	(State date on which first entry was made in the Register)
No. of still-birth certificate	Date of still-birth	Sex of still- born	Father’s particulars	Mother’s particulars	Date of registration of still- birth	Date of issue of certificate	Date of collection of certificate
Names	Nationality	Names	Nationality







Total number of births in District:

Form CRD1
REGISTER OF DEATHS

(regulation 4)

District: ………………………………………………… From: ……………………………………….. to: ………………………………….
					(State date on which last entry was made in the Register)	(State date on which first entry was made in the Register)
Death Certificate No.	Date of death of deceased	Place of death of deceased	Name of deceased	Sex of deceased	Age of deceased	Occupation of deceased	Cause of death of deceased	Date of registration	Date of issue of certificate	Date of Collection of Certificate







Total number of births in District:

Form CRD2
NOTICE OF DEATH IN HEALTH/NOT IN HEALTH INSTITUTION

Form Number:

Official Stamp

REPUBLIC OF BOTSWANA

BIRTH AND DEATH REGISTRATION ACT

NOTICE OF DEATH IN HEALTH / NOT IN HEALTH INSTITUTION

Registration Office:

Record Number

Registration No

Surname

Declarant

ID Number

Forename

District

Other Name(s)

City/Town/Village

Date of Notice ________________________________________________

Relation to Deceased: _________________________

Declarant Physical Address ____________________________________

Postal Address _______________________________

PARTICULARS OF DEATH

1.1 Nationality __________________________________________

1.2 ID Number

1.3

Surname

Forename

Other Name(s)

1.4 Sex:

1.5 Date of Death :

1.6 Age at Death

Day(s)/Month(s)/Year(s)

1.7 Place of Death District

City/Town/Village

a) Health Facility

Name of Health Facility _____________________________________

b) Home

c) Other (Specify) __________________________________________

1.8 Marital Status a) Married

b) Divorce

c) Single

d) Widowed

1.9 Usual Residence: City/Town/ Village

Ward/Street

1.10 Level of education a) Primary

b) Secondary

c) Post Secondary

d) Higher

e) None

1.11 Occupation _______________________________________________

1.12 Symptoms before death ________________________

1.13 Duration of Illness __________________________________________

1.14 Hospitalisation Period ___________________________

1.15 Cause of death

a) Disease or condition leading to death _________________________________________________________________________________

b) Morbid condition if any giving to the above cause, stating the underlining condition last __________________________________________

c) Other significant conditions contributing to death, but not related to the disease or condition causing it _____________________________

PARTICULARS OF NEXT OF KIN

2.1 ID Number

2.2

Surname

Forename

Other Name(s)

2.3 Age

2.4 Relationship _________________________

2.5 Physical/Postal Address ______________________________

Form CRB-2

Form Number :

Acknowledgement

ID Number ______________________

Name of Mother/ Declarant _______________________

Relation to Deceased :_______________

Place of Registration __________________________

Date ______________________

Amount (in Pula) :_______________________

Receipt No _____________

Date of Payment _________

Name of District Officer ___________________

Signature ______________

Collected by ___________________________________

Signature ______________________

Date of Collection : ___________________

PLEASE TURN OVER

IT IS AN OFFENCE TO KNOWINGLY GIVE INCORRECT INFORMATION

Signature __________________________________

Registration Assistant

Name _____________________

Designation :________________

Signature : ________________

Date : ______________________

Med. Officer

Name _____________________

Designation :________________

Signature : __________________

Date : _______________________

Form CRD3
CERTIFICATE OF DEATH

BIRTHS AND DEATHS REGISTRATION ACT
(Cap. 30:01)

(regulation 9)

1. Certificate number	…………………………………………….
2. Identifying number of deceased	…………………………………………….
3. Date of death of deceased	…………………………………………….
4. Place of death of deceased	…………………………………………….
5. Full names of deceased	…………………………………………….
6. Sex of deceased	…………………………………………….
7. Age of deceased	…………………………………………….
8. Occupation of deceased	…………………………………………….
9. Cause of death of deceased	…………………………………………….
10. Date of registration of death	…………………………………………….
I hereby certify the above to be a true and correct extract from the Register of Still-Births kept at Gaborone in the Republic of Botswana.
	……………………………………………. Registrar of Births and Deaths
DATED this ……………………………….. day of ……………………………………, 20……………

SECOND SCHEDULE
SCALE OF FEES

Type of certificate or service	Amount
1. Late registration of birth or death	Free from 01/04/14 to 31/03/15.
2. Birth or Death Certificate (first issue)	Free.
3. Inspection of any register or document in the custody of the Registrar	P20.
4. Certified copy of entry in any register or document in the custody of the Registrar	P20.
5. Alteration of surname or forename in relevant Births’ Register	P10.

BIRTHS AND DEATHS (CIVIL REGISTRATION PILOT PROJECT) REGULATIONS

(under section 25)

(1st May, 1992)

S.I. 43, 1992.

1. Citation and application

(1) These Regulations may be cited as the Births and Deaths (Civil Registration Pilot Project) Regulations.

(2) These Regulations shall apply in respect of the areas of Gomare, Francistown, Serowe and Kanye townships.

2. Amendment of Cap. 30:01

For the purpose of registering births and deaths in the areas specified in subregulation 1(2), the Births and Deaths Registration Regulations shall be read and interpreted as though for regulations 6, 7 and 10 thereof were substituted the following new regulations, and as if for Forms B1, B2, B3 and B4 there were substituted the appropriate Forms CR5, CR6, CRB1, CRB2, CRD1 and CRD2 set out in the Schedule hereto—

“6. Notification of births

(1) Any person wishing to give notice of a birth, or any person whose duty it is to give notice of a birth or a still-birth, under section 6 of the Act, shall, if the birth or still-birth took place elsewhere than in a health institution, send to the District Registrar information in Form CRB1 in the First Schedule, or if the birth or still-birth took place in a health institution, information in Form CRB2.

(2) A person unable to complete the necessary forms shall report the birth or still-birth verbally to the District Registrar, who shall complete the appropriate Form and cause it to be signed by the person making the report.”

“7. Notification of death

(1) Any person, not being a medical practitioner, who attended during the last illness of the deceased, and wishing, or any person whose duty it is, to give notice of the death in terms of section 7 of the Act, shall, if the death took place elsewhere than in a health institution send to the District Registrar information in Form CRD1, or if the death took place in a health institution, information in Form CRD2.

(2) A person unable to complete the necessary forms shall report the death verbally to the District Registrar, who shall complete the appropriate Form and cause it to be signed by the person making the report.”

“10. Late registration of births and deaths

The fees set out in the Second Schedule to the Act shall be paid upon the registration of births, still-births and deaths when such registrations take place in such circumstances as are respectively specified in that Schedule.”

“Form C.R.5
BIRTHS REGISTER

Record No

S.N

Regis
tration No

Name of child

Sex

Date of Birth

Place of Birth

Name of mother

Name of Father

Date of Regis-
tration

Nationality

Signature of District Registrar

Change of Name or Names added

Signature

Mother

Father

“

“Form C.R.6
DEATHS REGISTER

Record No	S.N	Registration No	Name of Deceased	Sex	Age at Death	Place of Death	Date of Death	Occupation	Cause of Death	Date of Registration	Signature









											“

“Form C.R. B-1
NOTICE OF LIVE BIRTH/STILL BIRTH NOT IN HEALTH INSTITUTION

Serial Number ………………………	REPUBLIC OF BOTSWANA	OFFICIAL STAMP
BIRTH AND DEATH REGISTRATION ACT

Record Number Name of Declarant: Forename

Registration No. Surname

District Relation to the Child…………………………………..

Town/Village Address…………………………………

	PARTICULARS OF BIRTH
1.1 Name of Child


1.2 Sex: Male Female 1.3 Date of birth 1.4 (a) Born alive (b) Still birth Day Month Year
1.5 Result of delivery: Single Multiple 1.6 Place of birth a) Health facility (b) Home (c) Other (Specify)……………
Name of Health Facility:…………………………………………………………………………….
	PARTICULARS OF MOTHER
2.1 Name of Mother


2.2 Age of Mother 2.3. I.D. Number
2.4 Marital Status: (a) Married Place Date (b) Divorced (c) Widowed
(d) Single
2.5 Usual residence: Village/Town Ward/Street
2.6 Level of education: Primary Secondary Post Secondary Higher None
2.7 Occupation: 2.8 Nationality
2.9 No of Children Born Alive 2.10 No of Children Still Alive
	PARTICULARS OF FATHER
3.1 Name of Father


3.2 Age of Father 3.3. I.D. Number
3.4 Marital Status: (a) Married (b) Divorced (c) Widowed (d) Single
3.5 Usual residence:Village/Town ……………………………………………… Ward/Street ………………………………………..
3.6 Level of education: Primary Secondary Post Secondary Higher None
3.7 Occupation: 3.8 Nationality
Signature: Mother/Declarant ……………………………………..
Registration Assistant: Name …………………………………… Designation ………………….. Signature ……………………………..
Med. Officer/Midwife ………………………. Designation …………………….. Signature …………………………. Date …………….”

“Form C.R. B-2
NOTICE OF LIVE BIRTH/STILL BIRTH IN HEALTH INSTITUTION

Serial Number ………………………….	REPUBLIC OF BOTSWANA	OFFICIAL STAMP
BIRTH AND DEATH REGISTRATION ACT

Record Number Name of Declarant: Forename

Registration No. Surname

District Relation to the Child…………………………………..

Town/Village Address………………………………

	PARTICULARS OF BIRTH
1.1 Name of Child


1.2 Sex: Male Female 1.3 Date of birth 1.4 (a) Born alive (b) Still birth Day Month Year
1.5 Result of delivery: Single Multiple 1.6 Place of birth (a) Health facility (b) Home
Name of Health Facility:………………………………………….. (c) Other (Specify)………………………………
1.7 Weight of child: Grams 1.8 Did child look normal after birth? Yes No. 1.9 Ges. Period wks
1.10 Did Mother have difficulty giving birth? Yes No 1.11 Was mother ill at time of delivery? Yes No
	PARTICULARS OF MOTHER
2.1 Name of Mother


2.2 Age of Mother 2.3. I.D. Number
2.4 Marital Status: (a) Married Place Date (b) Divorced (c) Widowed
(d) Single
2.5 Usual residence: Village/Town Ward/Street
2.6 Level of education: Primary Secondary Post Secondary Higher None
2.7 Occupation: 2.8 Nationality
2.9 No. of Children Born Alive 2.10 No. of Children Still Alive
	PARTICULARS OF FATHER
3.1 Name of Father


3.2 Age of Father 3.3. I.D. Number
3.4 Marital Status: (a) Married Place Date (b) Divorced
(c) Widowed (d) Single
3.5 Usual residence:Village/Town …………………………………………….. Ward/Street ……………………………………….
3.6 Level of education: Primary Secondary Post Secondary Higher None
3.7 Occupation: 3.8 Nationality
Signature: Mother/Declarant …………………………………….
Registration Assistant: Name …………………………………… Designation ………………….. Signature ……………………………
Med Officer/Midwife: ……………………………. Designation …………………….. Signature …………………………. Date ……………”

“Form C.R. D-1
NOTICE OF DEATH NOT IN HEALTH INSTITUTION

Serial Number ………………………….	REPUBLIC OF BOTSWANA	OFFICIAL STAMP
BIRTH AND DEATH REGISTRATION ACT

Record Number Name of Declarant: Forename

Registration No. Surname

District Relation to the Deceased………………………………

Town/Village Address of Next of Kin ………………………………

	PARTICULARS OF DEATH

1.1 Name of Deceased


1.2 Sex: Male Female 1.3 Date of death 1.4 (a) Age at death Day Month Year Day Month Year
1.5 I.D. Number 1.6 Place of death (a) Health facility (b) Home
Name of Health Facility:……………………………………….. (c) Other (Specify)…………………………
1.7 Marital Status: (a) Married Place Date (b) Divorced (c) Widowed
(d) Single
1.8 Usual residence Village/Town Ward/Street
1.9 Level of education: Primary Secondary Post Secondary Higher None
1.10 Occupation: 1.11 Nationality
	PARTICULARS OF MOTHER (If deceased is under 16 years of age)

2.1 Name of Mother


2.2 Age of Mother 2.3 I.D. Number

Signature: Mother/Declarant …………………………………….
Registration Assistant: Name …………………………………… Designation ………………….. Signature ……………………………
Chief/Supervisor: ……………………………. Designation …………………….. Signature …………………………. Date ………………..”

“Form C.R. D-2
NOTICE OF DEATH IN HEALTH INSTITUTION

Serial Number ………………………….	REPUBLIC OF BOTSWANA	OFFICIAL STAMP
BIRTH AND DEATH REGISTRATION ACT

Record Number Name of Declarant: Forename

Registration No. Surname

District Relation to the Deceased ….

Town/Village Address of Next of Kin ……………………………..

	PARTICULARS OF DEATH

1.1 Name of Deceased


1.2 Sex: Male Female 1.3 Date of death 1.4 Age at death Day Month Year Day Month Year
1.5 I.D Number 1.6 Place of death (a) Health facility (b) Home
Name of Health facility ………………………………………………………….. (c) Other (Specify) ………………………..
1.7 Marital Status: (a) Married Place Date (b) Divorce Day Month Year
(c) Widowed (d) Single
1.8 Usual residence Village/Town Ward/Street
1.9 Level of Education: Primary Secondary Post Secondary Higher None
1.10 Occupation: 1.11 Nationality
1.12 Symptoms before death: ……………………………………………..1.13 Duration of illness: ………………………………………
1.14 Hospitalisation Period: …………………………………………………………………..
1.15 Causes of Death:
(a) Disease or Condition directly leading to death ……………………………………………………………………………………………
(b) Morbid condition if any giving to the above cause, stating the underlying condition last ……………………………………..
(c) Other significant conditions contributing to death, but not related to the disease or condition causing it…………………….
	PARTICULARS OF MOTHER (If deceased is under 16 years of age)

2.1 Name of Mother


2.2 Age of Mother 2.3 I.D Number
Signature: Mother/Declarant ……………………………………….
Registration Assistant: Name …………………………………………..Designation …………………………..Signature ………………..
Medical Officer ……………………………… Designation …………………………Signature …………………….Date ……………….”

BIRTHS AND DEATHS REGISTRATION (EXEMPTION FROM LATE REGISTRATION PENALTY FEE) REGULATIONS

(section 25(d) read with regulation 17(2))

(4th July, 2014)

ARRANGEMENT OF REGULATIONS

REGULATION

1. Citation

2. Exemption from late registration penalty fee of births and deaths

S.I. 85, 2014.

1. Citation

These Regulations may be cited as the Births and Deaths Registration (Exemption from Late Registration Penalty Fee) Regulations.

2. Exemption from late registration penalty fee of births and deaths

(1) A person who is classified under a vulnerable group as per the—

(i) Revised National Policy on Destitute Persons 2002;

(ii) Botswana National Plan of Action for Orphans and Vulnerable Children 2010-2016; and

(iii) National Guidelines for Orphans and Vulnerable children, is exempt from paying late registration penalty fee for births and deaths.

(2) The Second Schedule to the Regulations is amended by substituting for columns 1 and 2 in paragraph 1, the following new entry—

“1. Late registration of birth or death

Free from 01/04/14 to 31/03/15.”