(3)
10
I hereby consent to the making of an adoption order in pursuance E)余今同意(在黩幼熊本身之宗教信仰慷祚下{註}职 of the said application [on condition that the religious persuasion in which
the infant is brought up is
(Signature)
J
你
Delete the word in square bracke if the applicum is mamad, or 15, althomab the
进七)如申請人用本人姓名你講者,深或申請人組不用其本人姓
applicmal de pot raced. the conscoting party does not destrů to impose condong an
t religious opbringing.
Where the docoment la executed outside the Cubway, attestation in accordance with 九五六年
rufe 28 of the Auloption Rules, 1996, has the same effect as attestation by konice
of the peace,
Signed at (8)
by the said
[who satisfied me that she fully
understood the nature of the foregoing statement and was prepared to somender
her child for adoption] (n.
意】(四)
Hefore me (Signature)
!
(Address)
響]
(Description) 10
Notem
(*B) (BA)
Ta
我
FORM 5. 館
Notice of application for an adoption order in respect of
an infant named "4.8. (1) 關於申請對名
(註一)之幼童之国安告通知服
of
住址
[rule 11.)
[遥--┣段
(2)
(註二)
Whereas an application has been made [by C.D./C.D. and ED.] W or
段
1【莊三) 或
f
[nder the serial number
And whereas I,
条
號请
of
Insert alle ma kts0w to the cotusse kandiduje podurty,
(胖一)我
CU
斯同意者所翔之戀我口
Where the name of applicam in not known to the conscarlag Damy, and x PORÍA) Humbe
(註二) 刻
(3)
063
意將不知申請人姓名,而申請機犋集一九五* huo been obtained for the application under mule 3 of the Aduniap Rules, INK
complete the colry coolkened in the second aquabá Brackets,
本段南城其第二個方形括弧內各類。
It the infant has previourdy been adopted, a certified copy of the coury in the Adimal
Children Megister should be attached, and not a cendfed copy of the original entr
㦀,澗非以隰犨誓 ube newvery of bleibs; and the description of the convexjour pourty should robale # 太原出生之副本,艾在適用範闔同意栽芯跗厨
worda "by adapton" where uppruguİLAR,
Delete the words in square bracken except where the conseming party in the mober
The Infant.
Delete all but one of the description which follow.
項除 項(適用者)外,餘均醌去口
If the consenting early do the mother of the infant, the document well post te iubombačke (註) 如同意者槔幼童之則在本次後之嵌西必須由太平种士一人惜明(如仍在外 w evidence unless the demure accented by a malice of the peace for, if executed 地裹立者,必由一九五六年数猴子女施保所授術之官員證明,踏器(E
abroad. by an officer authorized by Adamon Rolex, 1956-ee more (A)), IN WE CARRY 八),否則本文不能接們作為麼據,望上述證明機。本次即可確訥作為在操
the documen, il va attened, will be admissible without facer proof of exstinct. 無須再者明其薇止(之时賣與否)。
wo the guardian ad frem of the said infant;
Take notice that while the said application is pending, you must not, except
with the leave of the judge, remove the infant from the care and possession
of the applicant. Application for such leave may be made to the judge, Supreme Oan. Hồng Kong.
Re
Dated the
L
九
day of
(Signature of guardian ad litem)
(辦理法棒手續期間監理人簽名)
19..+++...
Enter the page() and surnuine as known to the person in whore, the notice in given
(注一)此處與竊受邂知人所知蹼幼登之姓名及其已儒人所知
La
마
Quod also buy other name(s) by which the latem in Jeneren.
Enter the name and address of any parent of kudrdian of the inbunt who has sipated
Brico to the making of an adapulan order.
The name of the applicant must not be glweg where a serial number is specified la
(三)如在第三湖路(第十六段已填單次號磾,則此露艴不能與寫
Comm: 3 (alphaphy 15). In this case complete the second equr in square bracken. 申請人之姓名,在此種情况下踺在方形括弧內與鄰第二旗。