Gender Recognition Register (Northern Ireland) Regulations 2005 No. 187

Regulation 3(a) and 4

SCHEDULE 1 PARTICULARS TO BE ENTERED IN GENDER RECOGNITION REGISTER WHERE THE BIRTH WAS REGISTERED IN NORTHERN IRELAND

PART 1 particulars to be entered where the record of the birth was created on or before 30th September 1973

• Birth Registered in the District of

• in the Superintendent Registrar’s district of

• in the county of

• Entry number

• Date and Place of birth

• Name (if any) (child’s forename(s))

• Sex

• Name and Surname and Dwelling-place of Father

• Name and Surname and Maiden Surname of Mother

• Rank or Profession of Father

• Signature, Qualification and Residence of Informant

• When Registered

• Signature of Registrar

• Baptismal Name if added after Registration of Birth and Date

PART 2 particulars to be entered where the record of the birth was created on or after 1st October 1973 and on or before 1st December 1996

Birth registered in the district of
Child	– Surname
	– Name
	– Sex
	– Date of birth
	– District of birth
	– Place of birth
Father	– Name and surname
	– Occupation
Mother	– Name and surname
	– Usual address
	– Maiden surname
	– Surname at marriage (if different from maiden surname)
Informant	– Qualification
	– Address
	– Signature
Date of registration
Signature of Registrar

PART 3 Particulars to be entered where the record of the birth was created on or after 2nd December 1996

Birth registered in the district of
Child	– Surname
	– Name
	– Sex
	– Date of birth
	– District of birth
	– Place of birth
Father	– Name and surname
	– Occupation
Mother	– Name and surname
	– Occupation
	– Usual address
	– Maiden surname
	– Surname at marriage (if different from maiden surname)
Informant	– Qualification
	– Address
	– Signature
Date of registration
Signature of Registrar