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.
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.
05-133sr004.docx