[See rule 4(5)]
This is to certify that I examined….wife/daughter of….a woman employed in……(name of 1[mine or circus]) and found that she has been delivered of a child/has undergone miscarriage on…..(date)
Signature of registered midwife.
Definitions of "child" and "miscarriage" as in the Maternity Benefit Act, 1961-
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.
Subs. by G.S.R. 59(E), dated 27th February, 1975 (w.e.f. 1-3-1975).