Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995
Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995
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Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995
Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995
(SR 1995/183)
Note
These regulations are administered in the Department of Justice.
PURSUANT to section 88(1)(b) of the Births, Deaths, and Marriages Registration Act 1995, Her Excellency the Governor-General, acting by and with the advice and consent of the Executive Council, hereby makes the following regulations.
Contents
1 Title and commencement
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(1) These regulations may be cited as the Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995.
(2) These regulations shall come into force on the day after the date of their notification in the Gazette.
2 Interpretation
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(1) In these regulations, unless the context otherwise requires,—
The Act means the Births, Deaths, and Marriages Registration Act 1995
Disposal, in relation to a body that has been cremated, means the cremation itself, (not the putting or scattering of the resulting ashes in any place); and disposed of has a corresponding meaning
Full name means—
(a) First or given name or names; and
(b) Surname or family name (if any).
(2) In these regulations, reference to a form of a particular number is a reference to the form bearing that number set out in the Schedule to these regulations.
Prescribed information
3 Preliminary notices of birth
There is hereby prescribed for the purposes of preliminary notices of birth under section 4 of the Act the following information:
(a) The date and place of the birth:
(b) The sex, birth weight, and length of gestation of the child:
(c) Whether the child was stillborn:
(d) The full name, usual residential address, and postal address of the mother.
4 Manner of deposit with Registrar-General of death certificate issued outside New Zealand
A death certificate issued outside New Zealand shall be deposited with the Registrar-General under section 52(1) of the Act by posting or giving it to the Registrar-General together with—
(a) Notice in writing of as much of the information prescribed by regulation 7(a) of these regulations to be contained in death certificates (not being information contained in the certificate) as is known to the person depositing the certificate:
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(b) Notice in writing of as much of the following information relating to the person to whom the certificate relates (not being information contained in the certificate) as is known to the person depositing the certificate):
(i) Nationality:
(ii) Last known place of residence in New Zealand (if any):
(iii) How long resident in New Zealand (if at all):
(iv) When last resident in New Zealand (if at all):
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(c) Notice in writing of the following information relating to the person depositing the certificate:
(i) Full name:
(ii) Usual residential address:
(iii) Relationship (if any) to the person to whom the certificate relates:
(iv) Length of acquaintance (if any) with the person to whom the certificate relates.
5 Information relating to solemnisation of marriage
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The following information is prescribed for the purposes of sections 55 to 57, and 62D of the Act:
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(a) in relation to both the bride and bridegroom,—
(i) full name:
(ii) full name at birth (if different from current name):
(iii) date of birth:
(iv) usual occupation, profession, or job:
(v) relationship status immediately before the marriage (never in a civil union and never married, previously in a civil union, previously married, or, in the case where the couple have changed the form of their relationship from civil union to marriage, the fact of the change being effected and the date and place of the earlier civil union):
(vi) if previously married or in a civil union, how and when the most recent marriage or civil union was dissolved:
(vii) place of birth:
(viii) usual residential address:
(b) in relation to the parents of the bride and bridegroom, full name, and surname or family name at birth (if different from current surname or family name):
(c) date of marriage:
(d) place of marriage.
Regulation 5 was substituted, as from 26 April 2005, by regulation 3 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
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5A Information relating to solemnisation of civil union
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The following information is prescribed for the purposes of sections 62B to 62D of the Act:
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(a) in relation to both parties to the civil union,—
(i) full name:
(ii) full name at birth (if different from current name):
(iii) date of birth:
(iv) sex:
(v) usual occupation, profession, or job:
(vi) relationship status immediately before the civil union (never in a civil union and never married, previously in a civil union, previously married, or, in the case where the couple have changed the form of their relationship from marriage to civil union, the fact of the change being effected and the date and place of the earlier marriage):
(vii) if previously in a civil union or previously married, how and when the most recent civil union or marriage was dissolved:
(viii) place of birth:
(ix) usual residential address:
(b) in relation to the parents of the parties, full name, and surname or family name at birth (if different from current surname or family name):
(c) date of civil union:
(d) place of civil union.
Regulation 5A was inserted, as from 26 April 2005, by regulation 3 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
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6 Birth certificates
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There is hereby prescribed to be contained in a birth certificate relating to any person's birth,—
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(a) In all cases,—
(i) The person's full name as registered on the initial registration of the birth:
(ii) Details of all changes of the person's name registered after the initial registration of the birth:
(iii) The person's sex:
(iv) The date of the birth:
(v) The place of the birth:
(vi) Where the birth was a multiple birth, the fact that it was such a birth and the person's birth order:
(vii) In relation to the person's parents, full name; date of birth; age at the time of the child's birth; and place of birth; and full name at birth (if not the full name on initial registration of the birth); as registered on the initial registration of the birth:
(viii) the person's citizenship by birth status, if the person was born on or after 1 January 2006:
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(b) In the case of birth in respect of which the information was expressly recorded,—
(i) The kainga (residence), iwi (tribe), and ahuatanga (description) of the person's mother:
(ii) The kainga, iwi, and ahuatanga of the person's father.
Paragraph (a)(vii) was amended, as from 26 April 2005, by regulation 4 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by omitting the words
“usual occupation, profession, or job;”
.Paragraph (a)(viii) was inserted, as from 1 January 2006, by regulation 3 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations (No 2) 2005 (SR 2005/298).
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6A Information relating to notification of death for registration
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(1) Information that must be provided under section 47(1)(b) of the Act for electronic notification of a death for registration is the same information as is required by form 4.
(2) However, a person notifying a death for registration under section 47(1)(b) of the Act—
(a) is not required to provide his or her signature; and
(b) must provide his or her contact email address.
Regulation 6A was inserted, as from 26 April 2005, by regulation 5 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
7 Death certificates
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(1) There is hereby prescribed to be contained in a death certificate relating to any person—
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(a) In all cases,—
(i) The person's full name:
(ii) The person's full name at birth (if not the person's full name at death):
(iii) The date of the death:
(iv) The place of the death:
(v) The person's usual residential address:
(vi) The person's usual occupation, profession, or job:
(vii) The person's sex:
(viii) The person's date of birth and age at death:
(ix) Where the person was born:
(x) In the case of a person born outside New Zealand who died in New Zealand, how long the person had been in New Zealand before death:
(xi) In relation to the person's parents, full name; and full name at birth (if not full name at death):
(xii) relationship status immediately before death:
(xiia) in respect of each time (if any) that the person entered a civil union, the person's age at the time of the civil union, the place of solemnisation of the civil union, the civil union partner's full name at that time, and the sex and age of the partner when the person died (if still living at that time):
(xiib) in respect of each time (if any) that the person married, the person's age at the time of the marriage, the place of solemnisation of the marriage, the spouse's full name at that time, and the sex and age of the spouse when the person died (if still living at that time):
(xiic) in respect of each time (if any) that the person entered a de facto relationship, the partner's full name, and the sex and age of the partner when the person died (if still living at that time):
(xiid) the sex and age of the person's children when the person died (if still living at that time).
(xiii) The cause or causes of the person's death, and (if more than 1, in respect of each) the interval between onset and death:
(xiv) the name of the doctor who certified the death and the date on which the person was last attended by the doctor or, as the case requires, the name of the doctor who completed a doctor's certificate in respect of the death:
(xv) The date on which and place where the person's body was disposed of; and
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(b) In the case of death in respect of which the information was expressly recorded,—
(i) The person's kainga (residence), iwi (tribe) or sub-tribe, and ahuatanga (description):
(ii) The degree of Maori ancestry of the person:
(iii) The kainga, iwi or subtribe, ahuatanga, and degree of Maori ancestry (if any) of the person's father:
(iv) The kainga, iwi or subtribe, ahuatanga, and degree of Maori ancestry (if any) of the person's mother; and
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(c) In the case of a death in respect of which information has been recorded under section 50 of the Act, or a corresponding provision of any former Act,—
(i) The name of the force or unit in which the person concerned was serving at the time of death:
(ii) The person's official number (if any) and rank at the time of death:
(iii) The person's last occupation, profession, or job, and usual residential address, before departure from New Zealand:
(iv) The source or sources of information from which particulars of the place, time, date, and cause, of the death, and the place in which the person's body was disposed of, were obtained.
(2) The number of a person's legal relationships for which details must be contained in a death certificate is limited to the 4 most recent relationships before death.
(3) In subclause (2), legal relationship means a marriage, civil union, or de facto relationship.
Subclause (1)(a)(xi) was amended, as from 26 April 2005, by regulation 6(1) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by omitting the words
“usual occupation, profession, or job;”
.Subclause (1)(a)(xii) was substituted, as from 26 April 2005, by regulation 6(2) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Subclause (1)(a)(xiia) to (xiid) were inserted, as from 26 April 2005, by regulation 6(2) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Subclause (1)(a)(xiv) was substituted, as from 26 April 2005, by regulation 6(3) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Subclauses (2) and (3) were inserted, as from 26 April 2005, by regulation 6(4) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
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8 Marriage certificates
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There is hereby prescribed to be contained in a marriage certificate—
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(a) In relation to both the bride and bridegroom,—
(i) Full name:
(ii) Full name at birth (if different from full name on marriage):
(iii) Date of birth, and age at the time of the marriage:
(iv) Usual occupation, profession, or job:
(v) relationship status immediately before the marriage including, in the case where the couple have changed the form of their relationship from civil union to marriage, the fact of the change being effected and the date and place of the earlier civil union:
(vi) if previously married or in a civil union, how and when the most recent marriage or civil union was dissolved:
(vii) Place of birth:
(viii) Usual residential address (in full):
(ix) Any new names or change of name included (under section 62(1) of the Act or any corresponding provision of a former Act) in the information relating to the person's birth recorded under the Act or any former Act:
(x) Details (relating to any dissolution of marriage or conviction for bigamy) recorded under section 59 or section 60 of the Act or any corresponding provision of a former Act:
(xi) in relation to a couple who have changed the form of their relationship from marriage to civil union, the fact of that change being effected and the date and place of the civil union:
(b) In relation to the parents of the bride and bridegroom, full name; and surname or family name at birth (if not the current surname or family name):
(c) Date of marriage:
(d) Place of marriage.
Paragraph (a) was amended, as from 26 April 2005, by regulation 7(1) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by substituting the word
“both”
for the words“both to”
.Paragraph (a)(v) and (a)(vi) were substituted, as from 26 April 2005, by regulation 7(2) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Paragraph (a)(xi) was inserted, as from 26 April 2005, by regulation 7(3) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Paragraph (b) was amended, as from 26 April 2005, by regulation 7(4) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by omitting the words
“usual occupation, profession, or job;”
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8A Civil union certificates
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The following information is prescribed to be contained in a civil union certificate:
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(a) in relation to both parties to the civil union,—
(i) full name:
(ii) full name at birth (if different from full name at time of civil union):
(iii) date of birth and age at the time of the civil union:
(iv) sex:
(v) usual occupation, profession, or job:
(vi) relationship status immediately before the civil union including, in the case where the couple have changed the form of their relationship from marriage to civil union, the fact of the change being effected and the date and place of the earlier marriage:
(vii) if previously in a civil union or previously married, how and when the most recent civil union or marriage was dissolved:
(viii) place of birth:
(ix) usual residential address (in full):
(x) new names or changes of name included (under section 62G of the Act) in the information relating to the person's birth recorded under the Act:
(xi) details (relating to any dissolution of civil union or conviction for bigamy) recorded under section 62E or section 62F of the Act:
(xii) in relation to a couple who have changed the form of their relationship from civil union to marriage, the fact of that change being effected and the date and place of the marriage:
(b) in relation to the parents of the parties, full name, and surname or family name at birth (if different from current surname or family name):
(c) date of civil union:
(d) place of civil union.
Regulation 8A was inserted, as from 26 April 2005, by regulation 8 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
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Schedule |
Reg 9 |
Form 1

births Notice of Birth This form must reach a Registrar of Births within 5 working days of the birth. Hospital Births This form must be filled in and signed by the person in charge of the premises for every live birth and stillbirth. Home Birth This form must be filled in and signed for every live birth and stillbirth by the doctor, or the midwife if no doctor is present. If no midwife or doctor was present at the birth the person in charge of the premises where the birth took place or where the mother was admitted to immediately after the birth must sign it. A Stillbirth That is a baby born after the 20th week of pregnancy who does not breathe or show any signs of life or, a baby born dead at any time during the pregnancy and weighs 400 grams or more at birth CHILD Sex of child Female Male Date of birth day month year Place of birth Name of hospital and town or city, or address of private home Was this child stillborn No Yes Birth weight grams Length of gestation weeks MOTHER First or given name(s) Surname or family name Residential address Number and street, suburb, town or city Postal address PERSON GIVING NOTICE First or given names(s) Surname or family name Occupation signature / / date
Form 2
Notification of birth for registration






Form 2 was amended, as from 26 April 2005, by regulation 9(1)(a) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by inserting the words
“or in a civil union with”
after the words“married to”
in each place where they appear.Form 2 was amended, as from 26 April 2005, by regulation 9(1)(b) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82) by inserting the words
“or civil union”
after the word“marriage”
in each place where it appears.Form 2 was substituted, as from 1 July 2005, by regulation 9(3) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Form 2 was substituted, as from 1 January 2006, by regulation 4 Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations (No 2) 2005 (SR 2005/298).
Form 3
Transfer of charge of body deaths

DECEASED Name First or given name(s) Surname or family name Last home address Place of death Date of death day month year Sex Female Male PERSON WHO IS TRANSFERRING CHARGE OF THE BODY Name First or given name(s) Surname or family name Occupation Contact address Contact telephone number Signature of the person who is transferring charge of the body signature / / date PERSON WHO IS TAKING CHARGE OF THE BODY Name First or given name(s) Surname or family name Occupation Contact address Contact telephone number Tick one of these, the one that is true in this case I am removing the body for anatomical examination under the Human Tissues Act 1964 I take full responsibility for the disposal of the body of the deceased. The place where I intend to dispose of the body of the deceased is: Full description of the place where you intend to dispose of the body I acknowledge that I have taken custody of the body of the deceased identified above, and I accept responsibility for notifying a registrar of all legal requirements concerning the death of the deceased. I have received the Medical Certificate of Causes of Death/Coroner's Order and I will include it with the Notification of Death for Registration form. Signature of the person who is taking charge of the body signature / / date
Form 4
Notification of death for registration



Form 4 was substituted, as from 26 April 2005, by regulation 9(2) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Form 4 was substituted, as from 1 July 2005, by regulation 9(3) Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Amendment Regulations 2005 (SR 2005/82).
Form 5
Certificate of dissolution of marriage

The marriage of First or given name(s) of bride Surname or family name of bride and First or given name(s) of bridegroom Surname or family name of bridegroom on Date of marriage at Place of marriage was dissolved by *(i) an order dissolving the marriage. *(ii) an order declaring that a party of the marriage is presumed to be dead and that the marriage is dissolved. *(iii) an order declaring the marriage to be void ab initio. *Cross out two of these options The order was made by the Family Court at place and took effect as a final order on date I certify that the above is true and correct signature of Deputy/Registrar of the court Date day month year Court reference No.
MARIE SHROFF,
Clerk of the Executive Council.
Explanatory Note
This note is not part of the regulations, but is intended to indicate their general effect.
These regulations, which come into force the day after notification in the Gazette, prescribe the information to be notified, and certain forms to be used, under the Births, Deaths, and Marriages Registration Act 1995.
Issued under the authority of the Acts and Regulations Publication Act 1989.
Date of notification in Gazette: 7 September 1995.
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Versions
Births, Deaths, and Marriages Registration (Prescribed Information and Forms) Regulations 1995
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