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Form D

Form D certifies the examination of a woman who has given birth or experienced a miscarriage. It includes definitions of 'child' and 'miscarriage' as per the Maternity Benefit Act, 1961. The document requires the signature of a registered doctor or midwife and includes details about the woman's employment and the date of the event.

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Anoop K Abraham
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925 views1 page

Form D

Form D certifies the examination of a woman who has given birth or experienced a miscarriage. It includes definitions of 'child' and 'miscarriage' as per the Maternity Benefit Act, 1961. The document requires the signature of a registered doctor or midwife and includes details about the woman's employment and the date of the event.

Uploaded by

Anoop K Abraham
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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FORM D

[See rule 4(5)]

This is to certify that I examined ________________________________________________________


wife/daughter of _____________________________________________________________________
a woman employed in ________________________________________________________________
and found that she has been delivered of a child/has undergone miscarriage on ___________________

Date: __________ Signature of registered Doctor / midwife.

Definitions of "child" and "miscarriage" as in the Maternity Benefit Act, 1961-


1. "Child" includes a still-born child.
2. "Miscarriage" means expulsion of the contents of a pregnant uterus at any period prior to or during
the twenty-sixth week of pregnancy but does not include any miscarriage, the causing of which is
punishable under the Indian Penal Code.

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