A statement by the person that he or she understands that, when all consents that are needed have been given, the Secretary or the principal officer of the adoption agency (as the case may be) will become the guardian of the child. The signature of the person giving consent. The date and place the consent is signed. __________________ Sch. 9 The full name of person giving consent. The address of the person giving consent. The date and place of birth of the person giving consent. The full name of the child. The date of birth of the child. The place of birth of the child. The relationship of the child to the person giving consent. The full name of the spouse of the person and a statement whether the person is the husband or wife or de facto husband or wife of the spouse. A statement that the person consents to the Court making an adoption order for the child in favour of the person's spouse. A statement that the person consents on the understanding that his or her rights as a parent will not be altered in any way by an adoption order in favour of his or her spouse. A statement that the person understands that an adoption gives the person and his or her spouse the same rights as parents of the child that both would have if they were married when the child was born. A statement that the person understands that the Court may consider that a guardianship order or custody order or both a guardianship and custody order
A statement by the person that he or she understands that, when all consents that are needed have been given, the Secretary or the principal officer of the adoption agency (as the case may be) will become the guardian of the child. The signature of the person giving consent. The date and place the consent is signed. __________________ Sch. 9 The full name of person giving consent. The address of the person giving consent. The date and place of birth of the person giving consent. The full name of the child. The date of birth of the child. The place of birth of the child. The relationship of the child to the person giving consent. The full name of the spouse of the person and a statement whether the person is the husband or wife or de facto husband or wife of the spouse. A statement that the person consents to the Court making an adoption order for the child in favour of the person's spouse. A statement that the person consents on the understanding that his or her rights as a parent will not be altered in any way by an adoption order in favour of his or her spouse. A statement that the person understands that an adoption gives the person and his or her spouse the same rights as parents of the child that both would have if they were married when the child was born. A statement that the person understands that the Court may consider that a guardianship order or custody order or both a guardianship and custody order
08-10sr002.docx