For the purposes of subsection 11 (1) of the Act, the following particulars are prescribed:
(a) the name of the child;
(b) the sex of the child;
(c) the date and place of birth of the child;
(d) whether the child was born alive or still-born;
(e) whether or not the birth was a multiple birth and, if it was, the number of children born as a result of the multiple birth and the number of those children born before the child;
(f) the name, any former name and the occupation and place of residence of the mother of the child;
(g) the place of birth of the mother of the child and her date of birth or, if the date of birth is not known, her age;
(h) the name, any former name, and the occupation and place of residence of the father of the child;
(i) the place of birth of the father of the child and his date of birth or, if the date of birth is not known, his age;
(j) if the parents of the child are married, the date and place of marriage;
(k) the name and age of each other child of the relationship of the parents of the child in order of birth (including any adopted or still-born child but not including any child given up for adoption);
(l) the number of any deceased male and any deceased female children of the relationship of the parents of the child;
(m) the name of not less than 1 person who witnessed the birth including, where the birth was witnessed by a doctor, midwife or nurse, the name of not less than 1 of them;
(n) the name, occupation, place of residence and relationship to the child, if any, of the person providing the information.