3. [Particulars of the age and sex of the applicants and (as far as known) of the child and their relationships to each other]. 4. [Particulars of the residence and domicile of each applicant]. 5. [Particulars (if known) of any person with whom the child resides or who has the care and custody of the child]. 6. [Particulars of any proceedings which have been brought or orders made by any court concerning the guardianship, care, custody or maintenance of or access to the child]. OR That we are not aware of any proceedings which have been brought before or orders which have been made by any court concerning the guardianship, care, custody or maintenance of or access to the child. 7. [Where applicable—particulars of the date and the church or other place of marriage of the applicants and the minister or other authorized person who performed the ceremony and a statement that the applicants have not been divorced or separated since the marriage] OR [Where applicable—a statement that the applicants consider that their relationship is recognized as a traditional marriage by an Aboriginal community or an Aboriginal group to which they belong and particulars of how long this relationship has been so recognized]. OR [Where applicable—where the applicants are living together in a de facto relationship, whether they have been so living for two years or more and whether either is married]. OR [Where applicable—where the applicants have been living with each other in any combination of the relationships referred to in paragraphs (g), (h) or (i) of Rule 9, particulars of the duration of each such relationship]. Sch. 1 OR **[Where applicable—where an applicant is married and the spouse is not an applicant, whether the applicant is living with the spouse and, if so, whether the spouse consents to the adoption order]. OR **[Where applicable—where an applicant is living in a de facto relationship and the de facto spouse is not an applicant, whether the de facto spouse consents to an adoption order AND whether the applicant or the de facto spouse is married].
8. [Particulars of any relationship between an applicant or spouse or de facto spouse of an applicant and the child]. 9. That neither of us is the mother of the child or a man who, under section 33(3) of the Act, is an appropriate person to give consent to the adoption of the child. 10. [Except as given in paragraph 7, particulars of any marriage of an applicant or the de facto spouse of an applicant and, if the marriage has been terminated, particulars of its termination—attaching to the affidavit a copy of any relevant certificate of death or decree absolute]. 11. [Particulars of income and assets of applicants]. 12. [Particulars of the children, natural or adopted, of the applicants or either of them]. 13. That as far as we are aware the child is not a non-citizen child. OR [Where the child is a non-citizen child, particulars of the persons in whose care the child has been for the preceding twelve months, particulars of any approval from the Secretary or an authorized agency under section 51(1)(a) of the Act which has been given to the applicants, particulars of any supervision of the welfare and interests of the child exercised by the Secretary or such an agency in the preceding 12 months]. 14. That we have not received or agreed to receive, and that no person has made or given or agreed to make or give to us, any payment or other reward in consideration of the adoption and that we have not made or agreed to make any payment or other reward for or in consideration of— (a) the adoption or proposed adoption of the child; (b) the giving of consent or the signing of an instrument of consent to the adoption of the child; (c) the transfer of the custody, care or control of the child with a view to the adoption of the child; (d) the making of arrangements with a view to the adoption of the child. 15. That we are not aware of any insurance having been effected on the life of the child. OR [Particulars of the amount of any insurance known to have been effected on the life of the child, and when it is due]. 16. That we have not previously applied for an adoption order in respect of the child.
ATTENDANCE: [set out attendance or non-attendance of any person entitled to attend and, if attending, whether by counsel or solicitor] UPON the summons issued the [insert date] and upon reading the affidavit(s) of [names of applicants], and the affidavits of [names of other deponents] filed [insert date] and the exhibits referred to therein, and UPON HEARING the solicitor for the applicants and the evidence of [name of guardian] of [address and occupation], the guardian of the above-named child, AND THE COURT BEING SATISFIED that it is for the benefit of the child that *he/*she should be adopted by [names of applicants] and that all the requirements of the Adoption Act 1984 have been complied with, THE COURT ORDERS that [name and occupation of applicant] of [address] *and [name and occupation of applicant] of [address] * both in the State of , be authorized to adopt the child, *subject to the following conditions imposed under section 59 of the Adoption Act 1984. [signature of Judge] [name of Judge] *delete if inapplicable __________________ Rule 30(2) 10 Sch. 1 To [name(s) of adoptive parent(s)] This is to certify that an order was made on the [insert date of order] under the Adoption Act 1984 authorizing [name(s) of adoptive parent(s)] to adopt [name of child under the order] born at [place of birth of the child]. Dated: Judge __________________ Rule 31(1) 11
the decision made in accordance with article 27 of the Hague Convention terminating the pre-existing legal parent-child relationship is not recognised on the ground that it is manifestly contrary to public policy. IF YOU INTEND TO OPPOSE the application you must attend before the Court at the time and place named in this summons. FILED [date] THE DATE AND TIME for the hearing of this application is [insert date and time] *Prothonotary/*Registrar *delete if inapplicable __________________ Rule 37(4) 21 Sch. 1 69I [heading as in Form 17] JUDGE: DATE MADE: ORIGINATING PROCESS: HOW OBTAINED: ATTENDANCE: [set out attendance or non-attendance of any person entitled to attend and, if attending, whether by counsel or solicitor] UPON APPLICATION and upon reading the summons issued the [insert date] and upon reading the affidavit of [name of applicant] and the affidavits of [names of other deponents] filed [insert date], THE COURT BEING SATISFIED that— [insert details of the relevant adoption recognised under section 69D or 69E of the Act or decision made in accordance with article 27 of the Hague Convention] is manifestly contrary to public policy, THE COURT DECLARES THAT the *adoption/*decision is not recognised.