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Scription Sex Date of stillbirth Male Female / / Part 2 Certificate of stillbirth I am a registered medical practitioner midwife I certify that I have examined the body of the stillborn child and can certify that the child was stillborn. I certify that the information I have given above is true and accurate to the best of my knowledge and belief. I am aware that it is an offence to wilfully make a false statement with a view to procuring a cremation. Your full name Address Registered.

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Keywords relevant to Cr9ped Form

  • 2008
  • procuring
  • wilfully
  • STILLBORN
  • certify
  • Midwife
  • cremation
  • Practitioner
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