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CS Form B26 Form of Vital Statistics

This document is a form collecting vital statistics information for an officer in the Republic of Zambia. It requests information such as name, date and place of birth, nationality of parents, religion, title of appointment, date of marriage and birth of spouse/children, husband's information (for married women), and emergency contacts. The form notes that the Permanent Secretary (Personnel) should be informed of any necessary amendments to the provided details.

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979 views

CS Form B26 Form of Vital Statistics

This document is a form collecting vital statistics information for an officer in the Republic of Zambia. It requests information such as name, date and place of birth, nationality of parents, religion, title of appointment, date of marriage and birth of spouse/children, husband's information (for married women), and emergency contacts. The form notes that the Permanent Secretary (Personnel) should be informed of any necessary amendments to the provided details.

Uploaded by

Kas Mus
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REPUBLIC OF ZAMBIA CS form B26

Stocked by Govt. printer

FORM OF VITAL STATISTICS


(General Order No. l0)

1. Name of Officer in full..............................................................................................................................................

2. Date of Birth.................................................................................................................. ............................................

3. Place of Birth..............................................................................................................................................................

4. Nationality of Parents: Father.................................................; Mother..................................................................

5. Religion.......................................................................................................................................................................

6. Title of Appointment..................................................................................................................................................

7. Date of Marriage.......................................................... Date of Birth of Wife...........................................................

Maiden and Christian names of Wife.........................................................................................................................

....................................................................................................................................................................................
8. Children:
Date of Birth Name Sex Remark
1.
2.
3.
4.
5
9. (To be completed by married women only)
Name of Husband in full...................................................................................................................................
Address of Husband..........................................................................................................................................
.............................................................................................................................................
Husband's present occupation............................................................................................................................

10. Names and addresses of parents and/or other relations or friends whom you would wish to be notified
in the event of serious illness or other emergency.
(a) Name.....................................................................................................................................................................
Address..................................................................................................................................................................
Relationship (if any)..............................................................................................................................................
(b) Name.....................................................................................................................................................................
Address..................................................................................................................................................................
Relationship (if any)..............................................................................................................................................

Date....................................................... Signature..........................................................
Note-The Permanent, Secretary (Personnel) must be informed if any amendrnent to the details given above becomes
necessary.

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