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THE CHILDREN (ADOPTION OF) ACT

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~~ ~ -<br />

I<br />

FOURTH SCHEDULE<br />

FORM A<br />

(Section 25(2))<br />

3711974<br />

S. 8 (a).<br />

(3)<br />

Name of<br />

Adopted<br />

Child.<br />

:Enter name<br />

as stated<br />

n Adoption<br />

Order)<br />

(4)<br />

Sex<br />

of Adopted<br />

Child.<br />

(Enter<br />

ex as stated<br />

n Adoption<br />

Order)<br />

(5)<br />

Name and<br />

Surname, Address<br />

and Occupation<br />

of Adopter or<br />

Adopters. (Enter<br />

name, address and<br />

occupation as stated<br />

in Adoption Order)<br />

(6)<br />

Date of Birth<br />

of Child and<br />

country of<br />

birth<br />

(7)<br />

Date of Adoption<br />

Order and description<br />

of Court by<br />

which made.<br />

(Entry to be made<br />

as " p e g in the<br />

Adoption Order)<br />

(8)<br />

Signature of<br />

Officer deputed<br />

by Registrar-<br />

General to<br />

attest the<br />

Entry<br />

I<br />

wl<br />

w

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