Form 89A - NSW Supreme Court



Form 89A

P. 77, rr. 19 and 38.

(Minute of order under section 13 of the Registration of Births, Deaths and Marriages Act 1973 or section 13 (1) or section 15 (1) of the Children (Equality of Status) Act 1976)

ORDER

THE COURT ORDERS that the birth (or stillbirth) of born (or stillborn) on be registered under the provisions of the Registration of Births, Deaths and Marriages Act 1973 in accordance with the following particularsC

or

in the case of a declaration under section 13 (1) of the Children (Equality of Status) Act 1976Cthe Court declares that the relationship of father and child exists between the man named below and the child named belowC

or,

in the case of a declaration under section 15 (1) of the Children (Equality of Status) Act 1976Cthe Court declares that the woman named below is the mother of the child named belowC

CHILD

(For place of birth or stillbirth state name of hospital or house, street and street number, and town or locality.)

Surname of child:

Other names of child:

Sex of child:

Date of birth (or stillbirth):

Place of birth (or stillbirth): (in full)

FATHER OF CHILD

(In the case of a child born or stillborn outside marriage omit the following matter relating to the father of the child unless a declaration is made under section 13 (1) of the Children (Equality of Status) Act 1976)

Surname:

Other names:

Occupation:

Date of birth:

Where born: (town or locality)

(State or country)

MOTHER OF CHILD

Surname:

Maiden surname:

Other names:

Date of birth:

Where born: (town or locality)

(State or country)

(In the case of a child whose mother and father were not married to each other when the order of declaration was made, omit the following matter.)

MARRIAGE OF PARENTS OF CHILD

When married to each other:

Where married: (town and locality)

(State or country)

PREVIOUS ISSUE OF SUCH MARRIAGE

| Names (in full) of other children of |Date of birth or stillbirth of |

|marriage |each child* |

| | |

| | |

(*Enter ``Deceased'' if child died prior to date of birth of child in respect of whom registration is sought or ``stillborn'' if applicable.)

(Complete as in general form of minute of order under Part 41 rule 11, Form 51.)

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