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1. Declaration of Parties: Identifies the biological parent(s) giving consent, including their full legal names, addresses, and relationship to the child
2. Child Details: Full information about the child including name, date of birth, place of birth, and current address
3. Statement of Consent: Clear and unambiguous statement expressing voluntary consent to the adoption and relinquishment of parental rights
4. Understanding of Legal Consequences: Acknowledgment that the parents understand the permanent nature of adoption and termination of their parental rights
5. Revocation Period: Statement regarding the statutory period during which consent can be withdrawn, as per CARA guidelines
6. Verification of Counseling: Confirmation that appropriate counseling has been received regarding the effects of consent to adoption
7. Declaration of Free Will: Statement confirming that the consent is given freely without coercion, pressure, or monetary compensation
8. Execution: Space for signatures, dates, and witness details
1. Consent of Minor Parent: Additional requirements and guardian consent when the biological parent is a minor
2. Single Parent Declaration: Required when only one parent is giving consent, explaining the absence of the other parent's consent
3. Special Needs Declaration: Additional declarations required for children with special needs or medical conditions
4. Interpreter's Declaration: Required when the consent form has been explained through an interpreter
5. Religious Preferences: Optional section for stating any religious preferences regarding the adoptive family
1. Schedule A - Identity Proof: Copies of identity documents of the biological parent(s)
2. Schedule B - Child's Documents: Birth certificate and other relevant documents of the child
3. Schedule C - Medical Reports: Any relevant medical reports or health records of the child
4. Schedule D - Counseling Certificate: Certificate from the authorized counselor confirming appropriate counseling
5. Appendix 1 - Witness Details: Complete information and identification details of witnesses
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