1956-HKRS30-8-46_Part06 — Page 9

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7. Whether the applicant suffers or has suffered from any serious illness, and whether there is any history of tuberculosis, epilepsy or mental illness in bls or her family.

3. Whether any person specified in the applicant's statement as a person to whom reference may be made is a responsible person and recommends the applicant without reservation.

9. Whether the applicant understands that an adoption order is irrevocable and that the order if made will render bin or her responsible for the maintenance and upbringing of the infant.

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Dated this 12th day of October, 1956.

PART II.

The infant.

10. Whether the infant has any right to or interest in any properly, 11. Whether the infant (if of an age to understand the effect of an adoption order) wishes the order to be made.

PART III.

The parents.

12. Whether the mother consents to the adoption and identifies the birth certificate (if any) attached to the applicant'à statement as the birth certificate of the infant.

13. Whether the father consents to the adoption.

14. If the infant is illegitimate, whether an order has been made adjudging any person to be the putative father of the infant, or an agree ment to contribute to the maintenance of the infant has been made by a person acknowledging himself to be the father of the infact, and in either case whether that person consents to the adoption.

15. When did the parent or parents part with the infant, and to whom,

16. What are the reasons of the parent or parents for consenting to the adoption, and whether his or their consent is given without pressure from other persona.

17. Whether the parent, or each of the parents, understands that an adoption order is irrevocable, and that the order if made will deprive him or her of all rights in respect of the maintenance and upbringing of the infant.

18. Where the applicant's statement requests the judge to dispense with the consent of the parent, or either of the parents," on the ground that he or she cannot be found, what steps have been taken to trace him or her,

С

Chief Justice,

Ca Reece.

Senior Puisne judge.

J.R. Gugg

Puisne judge.

J. Reynolds.

Puisne Judge.

Чимчим

Member.

Meaber,

Pursuant to section 37(6)(d) of the Supreme Court Ordinance

I hereby certify that the foregoing rules have been made by the requisite quorum of the Rules Committee under and by virtue of section 37(6) of the Ordinance.

Chief Justice.

(Secretarial 5/3221/48)