cg';"rL–!@ -lgod & ;Fu ;DalGwt_ g]kfn ;/sf/ ;ª\3Lo dfldnf tyf :yfgLo ljsf; dGqfno :yfgLo kl~hsflwsf/Lsf] sfof{no blIf0fsfnL gu/kflnsf j8f g+======sf] sfof{no sf7df8f}+ lhNnf hGd btf{sf] k|df0f–kq btf{ gDa/M ======btf{ ldltM ======kfl/jfl/s nut kmf/fd g+=M ======o; sfof{nodf v8f ul/Psf] hGd btf{ lstfa cg';f/ k|dfl0ft ul/G5 ls ;"rs >L÷>LdtL ======n] e/]sf] cg';"rL–@ sf] ;"rgf kmf/fd adf]lhd >L ======sf] gflt÷gfltgL ======lhNnf ======gu/kflnsf j8f g+======df a:g] >L ======tyf >LdtL ======sf] 5f]/f÷5f]/L >L÷;'>L ======sf] ldlt lj=;+======-======O{=;+=_ df hGd ePsf] xf] . gful/stf lnPsf] eP :yfgLo kl~hsflwsf/Lsf] gful/stf k|df0f–kq g+= hf/L ldlt / lhNnf ;xLM s= afa'sf] ======gfd y/M======v= cfdfsf] ======ldltM ======

Schedule-12 (Related with Rule 7) Government of Ministry of Federal Affairs and Local Development Office of Local Registrar Dakshinkali Municipality, ...... Ward Office District Birth Registration Certificate

Registration No.:...... Date of Registration:...... Family Record Form No: ...... This is to certify, as per the birth register maintained at this office and the information provided by Mr./Mrs...... in the information from of schedule-2, that Mr./Miss...... son/daughter of Mr...... and Mrs...... , grandson/granddaughter of Mr./Mrs...... , a resident of Ward No...... , ...... Municipality, ...... District, was born on...... BS (...... AD) at......

Date, District and Citizenship Certificate No. if Citizenship Certificate is issued to: Local Registrar's: A. Father: ...... Signature: B. Mother: ...... Name and surname:

Date: ...... cg';"rL–!# -lgod & ;Fu ;DalGwt_ g]kfn ;/sf/ ;ª\3Lo dfldnf tyf :yfgLo ljsf; dGqfno :yfgLo kl~hsflwsf/Lsf] sfof{no blIf0fsfnL gu/kflnsf j8f g+======sf] sfof{no sf7df8f}+ lhNnf d[To' btf{sf] k|df0f–kq btf{ gDa/M ======btf{ ldltM ======kfl/jfl/s nut kmf/fd g+=M ======o; sfof{nodf v8f ul/Psf] d[To' btf{ lstfa cg';f/ k|dfl0ft ul/G5 ls ;"rs >L÷>LdtL ======n] e/]sf] cg';"rL–# sf] ;"rgf kmf/fd adf]lhd >L ======sf] gflt÷gfltgL >L======sf] 5f]/f÷5f]/L >L ======klt÷kTgL ======lhNnf ======gu/kflnsf j8f g+======df a:g] aif{ ======sf] >L÷>LdtL======sf] ldlt ======-======O{=;+=_ ut]======gu/kflnsf j8f g+======df d[To' ePsf] xf] . gful/stf lnPsf] eP d[tssf] :yfgLo kl~hsflwsf/Lsf] gful/stf k|df0f–kq g+= hf/L ldlt / lhNnf ;xLM gful/stfsf] k|df0f kq g+======gfd y/M======hf/L ldlt / lhNnf======ldltM ======

Schedule-13 (Related with Rule 7) Government of Nepal Ministry of Federal Affairs and Local Development Office of Local Registrar Dakshinkali Municipality, ...... Ward Office Death Registration Certificate

Registration No.:...... Date of Registration:...... Family Record Form No: ...... This is to certify, as per the Death register maintained at this office and the information provided by Mr./Mrs...... in the information from of schedule-3, that Mr./Mrs./Miss...... aged ...... , son/daughter of Mr./Mrs...... grandson/granddaughter of Mr./Mrs...... , Husband/Wife of Mr./Mrs...... a resident of Ward No...... , ...... Municipality, ...... District, died on...... BS (...... AD).

In Citizenship Certificate is issued to deceased: Local Registrar's: His/Her Citizenship Certificate No...... Signature: Date & District of issuance:...... Name and surname:

Date: ...... cg';"rL–!$ -lgod & ;Fu ;DalGwt_ g]kfn ;/sf/ ;ª\3Lo dfldnf tyf :yfgLo ljsf; dGqfno :yfgLo kl~hsflwsf/Lsf] sfof{no blIf0fsfnL gu/kflnsf j8f g+======sf] sfof{no sf7df8f}+ lhNnf ljjfx btf{sf] k|df0f–kq btf{ gDa/M ======btf{ ldltM ======kfl/jfl/s nut kmf/fd g+=M ======o; sfof{nodf v8f ul/Psf] ljjfx btf{ lstfa cg';f/ k|dfl0ft ul/G5 ls ;"rs >L======tyf >LdtL======n] e/]sf] cg';"rL–$ sf] ;"rgf kmf/fd adf]lhd >L ======sf] gflt >L======sf] 5f]/f ======lhNnf ======gu/kflnsf j8f g+======df a:g] aif{ ======sf] >L======;Fu ======sf] gfltgL >L ======sf] 5f]/L ======lhNnf ======gu/kflnsf j8f g+======df a:g] aif{ ======sL ======sf] ldlt lj=;+======-======O{=;+=_ ;fdflhs k/Dk/f cg';f/ ljjfx ePsf] xf] . gful/stf lnPsf] eP :yfgLo kl~hsflwsf/Lsf] gful/stf k|df0f–kq g+= hf/L ldlt / lhNnf ;xLM s_ b'nfxf ======gfd y/M======v_ b'nxL ======ldltM ======

Schedule-14 (Related with Rule 7) Government of Nepal Ministry of Federal Affairs and Local Development Office of Local Registrar Dakshinkali Municipality, ...... Ward Office Kathmandu District Marriage Registration Certificate

Registration No.:...... Date of Registration:...... Family Record Form No: ...... This is to certify, as per the marriage register maintained at this office and the information provided by Mr...... and Mrs...... in the information from of schedule-4, that Mr...... aged ...... , son Mr...... grandson of Mr...... , a resident of Ward No...... , ...... Municipality, ...... District, married Miss...... aged ...... daughter of Mr...... granddaughter of Mr...... a resident of Ward No...... , ...... Village Development Committee/Municipality, ...... District, on...... B.S. (...... A.D.) in accordance with the social customs.

Date, District and Citizenship Certificate No. if Citizenship Certificate is issued to: Local Registrar's: A. Bride ...... Signature: B. Bridegroom...... Name and surname:

Date: ...... cg';"rL–!^ -lgod & ;Fu ;DalGwt_ g]kfn ;/sf/ ;ª\3Lo dfldnf tyf :yfgLo ljsf; dGqfno :yfgLo kl~hsflwsf/Lsf] sfof{no blIf0fsfnL gu/kflnsf j8f g+======sf] sfof{no sf7df8f}+ lhNnf a;fO{ ;/fO{ btf{sf] k|df0f–kq btf{ gDa/M ======btf{ ldltM ======kfl/jfl/s nut kmf/fd g+=M ======o; sfof{nodf v8f ul/Psf] a;fO{ ;/fO{ btf{ lstfa cg';f/ k|dfl0ft ul/G5 ls ;"rs >L======n] e/]sf] cg';"rL–^ sf] a;fO{ ;/fO{sf] ;"rgf kmf/fd adf]lhd ======lhNnf ======ufpF ljsf; ;ldlt÷gu/kflnsf j8f g+======df a:g] >L======lgDg lnlvt kl/jf/ ;lxt ldlt ======df ======lhNnf ======ufpF ljsf; ;ldlt÷gu/kflnsf j8f g+======df a;fO{ ;/L cfPsf]÷uPsf] xf] . qm=;+= gfd y/ hGd ldlt ;"rs ;+usf] gftf 36gf btf{ eP gePsf] v'nfpg] s}lkmot

;"rsn] gful/stf lnPsf] eP :yfgLo kl~hsflwsf/Lsf] gful/stf k|df0f–kq g+======;xLM hf/L ldlt / lhNnf ======gfd y/M======ldltM ======Schedule-16 (Related with Rule 7) Government of Nepal Ministry of Federal Affairs and Local Development Office of Local Registrar Dakshinkali Municipality, ...... Ward Office Kathmandu District Migration Registration Certificate

Registration No.:...... Date of Registration:...... Family Record Form No: ...... This is to certify, as per the migration register maintained at this office and the information provided by Mr./Mrs...... in the information from of schedule-6, the informat Mr./Mrs...... a resident of Ward No...... , ...... Village Development Committee/Municipality ...... District, with the following members of the family, migrated to Ward No...... , ...... Municipality...... District.

Relationship with the Vital Events Registration S.N. Name and surname Date of Birth Remarks Informant Mentioned or Not

If Citizenship Certificate is issued to the informant: Local Registrar's: Citizenship Certificate No:...... Signature: Date and District of Issuance:...... Name and surname:...... Date: ...... cg';"rL–!% -lgod & ;Fu ;DalGwt_ g]kfn ;/sf/ ;ª\3Lo dfldnf tyf :yfgLo ljsf; dGqfno :yfgLo kl~hsflwsf/Lsf] sfof{no blIf0fsfnL gu/kflnsf j8f g+======sf] sfof{no sf7df8f}+ lhNnf ;DaGw laR5]b btf{sf] k|df0f–kq btf{ gDa/M ======btf{ ldltM ======kfl/jfl/s nut kmf/fd g+=M ======o; sfof{nodf v8f ul/Psf] ;DaGw laR5]b btf{ lstfa cg';f/ k|dfl0ft ul/G5 ls ;"rs >L÷>LdtL======n] e/]sf] cg';"rL–% sf] ;"rgf kmf/fd adf]lhd >L ======sf] gflt >L======sf] 5f]/f ======lhNnf ======ufpF ljsf; ;ldlt÷ gu/kflnsf j8f g+======df a:g] aif{ ======sf] >L======;Fu >L ======sf] gfltgL >L ======sf] 5f]/L ======lhNnf ======ufpF ljsf; ;ldlt÷gu/kflnsf jf8 g+======df a:g] aif{ ======sf] >LdtL ======sf] cbfntsf] ldlt======sf] cfb]z cg';f/ bfDkTo ;DaGw laR5]b ePsf] xf] . gful/stf lnPsf] eP :yfgLo kl~hsflwsf/Lsf] gful/stf k|df0f–kq g+= hf/L ldlt / lhNnf ;xLM s_ kltsf] ======gfd y/M======v_ kTgLsf] ======ldltM ======Schedule-15 (Related with Rule 7) Government of Nepal Ministry of Federal Affairs and Local Development Office of Local Registrar Dakshinkali Municipality, ...... Ward Office Kathmandu District Divorce Registration Certificate

Registration No.:...... Date of Registration:...... Family Record Form No: ...... This is to certify, as per the Divorce register maintained at this office and the information provided by Mr./Mrs...... in the information from of schedule-5, that the marital relationship between Mr...... aged ...... , son Mr...... grandson of Mr...... , a resident of Ward No...... , ...... Village Development Committee/Municipality, ...... District and Mrs...... aged ...... daughter of Mr...... granddaughter of Mr...... a resident of Ward No...... , ...... Municipality, ...... District, was terminated on as per the Judgment of the ...... Court, dated ......

Date, District and Citizenship Certificate No. if Citizenship Certificate is issued to: Local Registrar's: A. Husband ...... Signature: B. Wife ...... Name and surname:

Date: ......