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REGISTRATION

Please fill any information you know

INFORMATION ABOUT ADOPTION

 
Birth Date of Adoptee:
Adoptee's Birth Name:
Adoptee's Amended Name:
Adoptee's City of Birth:
Time of Adoptee's Birth:
Hospital:
Orfamage:
Delivering Doctor:
Country Adoption finalized in:
County Adoption finalized in:
Birthmother's Name:
Birthfather's Name:
Adoptive Mother's Name:
Adoptive Father's Name:
 
 

   INFORMATION ABOUT THE PERSON WHO FILLS IN THE REGISTRATION   

 
Gender:
I am:
Full Name:
Email:
Phone:
 
 

COMMENTS AND SPECIAL INSTRUCTIONS

 
 

 

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