Application for the registration of an adoption of a child named (i)....................
formerly (ii)........................
I,the undersigned...........................born in ..................race.................religion
(if any) .............ordinarily resident at..................hereby state :
(1) I/We are desirous that the adoption of.....................a child of the ................sex................., and of the ....................race................and religion (if any) ordinarily resident at .....................hereinafter called "the child" be registered under the Registration Of Adoptions Act 1952.
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