Victorian Repealed Acts

This legislation has been repealed.

Health Act 1958 - SIXTH SCHEDULE

NOTICE OF BIRTH TO THE MUNICIPAL CLERK

I (a)                                             of (b)
hereby give notice:



1.	That (c)                                residing at (d)
was delivered of a (e) male (or female) child alive (e) (or dead or at full time or prematurely) at            a.m.(e) or p.m. on the                day 
of                     19       at (f)                                     ; and
2.	That Dr.                           and Nurse                                  are (e) (or, if the case so requires, Dr.                          or Nurse                              is) attending the patient.
(Signature of person giving notice.)
The Municipal Clerk,
Council of _________________

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