*Prothonotary/*Registrar of the County *delete if inapplicable Rule 15(6) [heading as in Form 4] 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 the affidavit of [names and the affidavits of date], of applicants] [names filed [insert of other deponents] date], THE COURT DIRECTS that the consent of [name] a person whose consent is required under section 33 of the to the adoption of the Adoption Act 1984 child be dispensed with. [signature of Judge] [name of Judge] *delete if inapplicable
*Prothonotary/*Registrar of the County *delete if inapplicable Rule 15(6) [heading as in Form 4] 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], the affidavit of [names of applicants] and the affidavits of [names of other deponents] filed [insert date], THE COURT DIRECTS that the consent of [name] a person whose consent is required under section 33 of the Adoption Act 1984 to the adoption of the child be dispensed with. [signature of Judge] [name of Judge] *delete if inapplicable
15-102sr001.docx